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

Mary Kathleen Kelley, LICSW

Individual provider Clinical Social Worker · NPI 1972227783

Mary Kathleen Kelley, LICSW is a Clinical Social Worker in Madison, Alabama. Qualified in 1987, 39 years ago. Practices with Russellville Hospital Inc, a 68-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
39
Licensed in
AL
In the registry since
2022
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

600 Sun Temple Dr
Madison, AL 35758-8643
Phone: (256) 975-4291
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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 0558C (AL)

Record details

NPI number1972227783
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 27, 2022
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Russellville Hospital Inc. — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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