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MARY T KELLY LCSW
NPI 1821329822
Social Worker - Clinical in Cheyenne, WY

Active since January 15, 2010
719 E 17TH ST, CHEYENNE, WY 82001(307) 509-0772(307) 426-4133 Get Directions Write a Review

NPPES record last updated: April 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2017, Mar 28, 2017 (2 updates tracked since 2017).

About Mary T Kelly Lcsw NPPES

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

MARY T KELLY LCSW (NPI 1821329822) is an individual clinical provider in Cheyenne, Wyoming, licensed in Wyoming (366) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1821329822
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY T KELLYCredential: LCSW
Location Address719 E 17TH STCheyenne, WY 82001-4711
Mailing Address719 E 17th StCheyenne, WY 82001-4711 · (307) 509-0772 · Fax (307) 369-2370
Phone(307) 509-0772
Fax(307) 426-4133
Sole ProprietorNo
Enumeration DateJanuary 15, 2010
Last NPPES UpdateApril 14, 20172 updates tracked since enumeration
✔ NPI 1821329822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WY · 366
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.
719 E 17TH ST, Cheyenne, WY 82001
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Other Identifiers 1

Medicaid106079100WY

Other Providers at the Same Location NPPES 4

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

MEGAN REGAN CSW
Social Worker (Clinical)
719 E 17TH ST
CHEYENNE, WY 82001
Laramie County (307) 509-0772
MIND SPA, PC
Psychologist
719 E 17TH ST
CHEYENNE, WY 82001
Laramie County (307) 509-0772
DR. SHERI J FLUELLEN PH.D.
Psychologist (Counseling)
719 E 17TH ST
CHEYENNE, WY 82001
Laramie County (307) 509-0772
MR. BRANDON ROBERT DIXON MSW
Social Worker (Clinical)
719 E 17TH ST
CHEYENNE, WY 82001
Laramie County (307) 509-0772

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 Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1821329822. It was assigned to this individual provider in the NPPES registry on January 15, 2010.

Where is Mary Kelly located?

Mary Kelly practices at 719 E 17th St, Cheyenne, WY 82001. The listed phone number is (307) 509-0772.

What is Mary Kelly'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 Mary Kelly was last updated on April 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.