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: July 19, 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
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

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.

Social Worker (Clinical)
365 SUMMERHAVEN DR N
EAST SYRACUSE, NY 13057

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780448183, enumerated as an "organization" on February 07, 2024.

The provider is located at 365 SUMMERHAVEN DR N EAST SYRACUSE, NY 13057 and the phone number is (315) 325-8619.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.