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

Joanna E Kelly, LCSW

Individual provider Clinical Social Worker · NPI 1437276789

Joanna E Kelly, LCSW is a Clinical Social Worker in Medford, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

3251 Route 112 Bldg #9 Ste 2
Medford, NY 11763-1446
Phone: (631) 451-6007
Fax: (631) 732-1155
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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 073199 (NY)

Record details

NPI number1437276789
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 23, 2007
Last updated in NPPESFebruary 22, 2011

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