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WILLIAM NATHANIEL KELLY III LCSW
NPI 1881025302
Social Worker - Clinical in San Diego, CA

Active since December 09, 2013
10509 SAN DIEGO MISSION RD STE P, SAN DIEGO, CA 92108(619) 500-7088(619) 314-4252 Get Directions Write a Review

NPPES record last updated: February 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 26, 2023, Sep 26, 2021, Sep 18, 2020 and 1 more (4 updates tracked since 2018).

About William Nathaniel Kelly Iii Lcsw NPPES

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

WILLIAM NATHANIEL KELLY III LCSW (NPI 1881025302) is an individual clinical provider in San Diego, California, licensed in California (86426) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1881025302
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameWILLIAM NATHANIEL KELLY IIICredential: LCSW
Location Address10509 SAN DIEGO MISSION RD STE PSan Diego, CA 92108-2202
Mailing Address1823 48th StSan Diego, CA 92102-1326 · (803) 467-7385
Phone(619) 500-7088
Fax(619) 314-4252
Sole ProprietorYes
Enumeration DateDecember 9, 2013
Last NPPES UpdateFebruary 26, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2023
✔ NPI 1881025302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · 86426✔ Licensed in NC · C011880✔ Licensed in MD · 15681
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.
10509 SAN DIEGO MISSION RD STE P, San Diego, CA 92108
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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 William Kelly's NPI number?

The NPI number for William Kelly is 1881025302. It was assigned to this individual provider in the NPPES registry on December 9, 2013.

Where is William Kelly located?

William Kelly practices at 10509 San Diego Mission Rd Ste P, San Diego, CA 92108. The listed phone number is (619) 500-7088.

What is William 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 William Kelly was last updated on February 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.