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

Jacalyn P Kelly, LCSW

Individual provider Social Worker · NPI 1447322995

Jacalyn P Kelly, LCSW is a Clinical Social Worker in Orchard Park, New York. Qualified in 1996, 30 years ago. Licensed in New York.

Years since qualifying
30
Licensed in
NY
In the registry since
2006
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

3065 Southwestern Blvd Ste 204
Orchard Park, NY 14127
Phone: (716) 675-9232
Fax: (716) 675-9217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 0543871 (NY)

Record details

NPI number1447322995
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Not indicated

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