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

Individual provider Clinical Social Worker · NPI 1962559278

Jerry S Kelly, LCSW-R is a Clinical Social Worker in Cheektowaga, New York. Qualified in 1988, 38 years ago. Practices with Suburban Psychiatric Associates, LLP, a 35-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
38
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

3719 Union Rd
Cheektowaga, NY 14225-4249
Phone: (716) 681-7394
Fax: (716) 685-9087
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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 00003961 (NY)

Record details

NPI number1962559278
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
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 1988 (38 years in practice)
Group practice Suburban Psychiatric Associates, Llp — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cheektowaga