MS. MARY KELLY LCSW
NPI 1992215826
Social Worker - Clinical in Chicago, IL

Active since October 05, 2017
1901 W HARRISON ST, CHICAGO, IL 60612(312) 864-2327(312) 864-9380 Get Directions Write a Review

NPPES record last updated: October 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Mary Kelly Lcsw NPPES

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

MS. MARY KELLY LCSW (NPI 1992215826) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.01408) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1992215826
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY KELLYCredential: LCSW
Location Address1901 W HARRISON STChicago, IL 60612-3714
Mailing Address1901 W Harrison StChicago, IL 60612-3714 · (312) 864-2327 · Fax (312) 864-9380
Fax(312) 864-9380
Sole ProprietorYes
Enumeration DateOctober 5, 2017
NPI 1992215826 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 IL · 149.01408
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.
1901 W HARRISON ST, Chicago, IL 60612

Other Identifiers 1

Medicaid840500IL

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Obstetrics & Gynecology (Gynecology)
1901 W HARRISON ST
CHICAG, IL 60612
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Pharmacy (Clinic Pharmacy)
1901 W HARRISON ST
CHICAGO, IL 60612
Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Physician Assistant
1901 W HARRISON ST
CHICAGO, IL 60612
General Acute Care Hospital
1901 W HARRISON ST
CHICAGO, IL 60612

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 1992215826. It was assigned to this individual provider in the NPPES registry on October 5, 2017.

Where is Mary Kelly located?

Mary Kelly practices at 1901 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 864-2327.

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 October 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.