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

Jackelyn Rae Kelley, LCSW

Individual provider Counselor · NPI 1063837144

Jackelyn Rae Kelley, LCSW is a Clinical Social Worker in San Francisco, California. Qualified in 2013, 13 years ago. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2014
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

1001 Potrero Ave Ward 93
San Francisco, CA 94110-3518
Phone: (724) 544-3437
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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 100708 (CA)
Counselor Taxonomy 101Y00000X · Licence 60311 (CA)

Record details

NPI number1063837144
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 26, 2014
Last updated in NPPESApril 25, 2021
Certification dateApril 23, 2021

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 Not indicated
Practice locations3 on file with Medicare

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