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

Colleen Kelly, LCSW

Individual provider Social Worker · NPI 1205440591

Colleen Kelly, LCSW is a Clinical Social Worker in Brooklyn, New York. Graduated from Fordham University School of Medicine in 2020, 6 years ago. Practices with Aspire Medical Care Services PC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Trained at
Fordham University School of Medicine
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

7701 13th Ave
Brooklyn, NY 11228-2413
Phone: (182) 321-3517
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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 097696 (NY)
Social Worker Taxonomy 104100000X · Licence 110092 (NY)

Record details

NPI number1205440591
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 3, 2020
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Aspire Medical Care Services Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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