Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles B. Kellam, LCSW-R

Individual provider Clinical Social Worker · NPI 1487721932

Charles B. Kellam, LCSW-R is a Clinical Social Worker in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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Practice location Address checks out

1727 Amsterdam Ave
New York, NY 10031-4611 Not confirmed with CMS for 19 years — call before visiting
Phone: (212) 694-9200
Fax: (212) 368-5608
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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 · Licence 047627-1 (NY)

Record details

NPI number1487721932
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 8, 2007

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