Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Timothy Joseph Kelly, CASAC-T, BS, CDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1609599653

Mr. Timothy Joseph Kelly, CASAC-T, BS, CDC is an Addiction (Substance Use Disorder) Counselor in Poughkeepsie, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

41 Page Park Dr Ste 7
Poughkeepsie, NY 12603-7501
Phone: (845) 486-2950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 34319 (NY)

Record details

NPI number1609599653
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC-T , BS , CDC
Sole proprietorNo
NPI enumeratedSeptember 23, 2022
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

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