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

Individual provider Clinical Social Worker · NPI 1619227410

Brenda Kelleher, LCSW, LICSW is a Clinical Social Worker in Phoenix, Arizona. Qualified in 2013, 13 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth.

Years since qualifying
13
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

20860 N Tatum Blvd Ste 300
Phoenix, AZ 85050-4283
Phone: (207) 319-9005
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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 number1619227410
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LICSW
Sole proprietorYes
NPI enumeratedSeptember 19, 2012
Last updated in NPPESFebruary 8, 2023
Certification dateFebruary 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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