1. Home
  2. Directory
  3. New York
  4. East Syracuse
  5. Social Worker
  6. NPI Profile

KELLY OBRIEN LICENSED CLINICAL SOCIAL WORKER
NPI 1780448183
Social Worker - Clinical in East Syracuse, NY

Active since February 07, 2024
365 SUMMERHAVEN DR N, EAST SYRACUSE, NY 13057(315) 325-8619 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kelly Obrien Licensed Clinical Social Worker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY OBRIEN LICENSED CLINICAL SOCIAL WORKER (NPI 1780448183) is a healthcare organization registered as a clinical in East Syracuse, New York and active in the NPI registry since February 2024. The organization lists Kelly Theresa O'brien, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1780448183
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKELLY OBRIEN LICENSED CLINICAL SOCIAL WORKER
Location Address365 SUMMERHAVEN DR NEast Syracuse, NY 13057-3130
Mailing Address365 Summerhaven Dr NEast Syracuse, NY 13057-3130 · (315) 325-8619
Phone(315) 325-8619
Organization SubpartNo
Authorized OfficialKelly Theresa O'brienSole Mbr · (315) 325-8619
Enumeration DateFebruary 7, 2024
NPPES CertifiedFebruary 7, 2024
✔ NPI 1780448183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
365 SUMMERHAVEN DR N, East Syracuse, NY 13057
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY THERESA O'BRIEN LCSW
Social Worker (Clinical)
365 SUMMERHAVEN DR N
EAST SYRACUSE, NY 13057
Onondaga County (315) 325-8619

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Obrien Licensed Clinical Social Worker's NPI number?

The NPI number for Kelly Obrien Licensed Clinical Social Worker is 1780448183. It was assigned to this organization in the NPPES registry on February 7, 2024.

Where is Kelly Obrien Licensed Clinical Social Worker located?

Kelly Obrien Licensed Clinical Social Worker is located at 365 Summerhaven Dr N, East Syracuse, NY 13057. The listed phone number is (315) 325-8619.

What is Kelly Obrien Licensed Clinical Social Worker's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kelly Obrien Licensed Clinical Social Worker was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.