Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Obrien Licensed Clinical Social Worker

Organization Clinical Social Worker · NPI 1780448183

Kelly Obrien Licensed Clinical Social Worker is a Clinical Social Worker in East Syracuse, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

365 Summerhaven Dr N
East Syracuse, NY 13057-3130
Phone: (315) 325-8619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1780448183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly O'Brien — Sole Mbr · (315) 325-8619
NPI enumeratedFebruary 7, 2024
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024
Mailing address365 Summerhaven Dr N, East Syracuse, NY 13057-3130

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