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

Mrs. Kathleen Mary Kelly, LCSW

Individual provider Clinical Social Worker · NPI 1114099082

Mrs. Kathleen Mary Kelly, LCSW is a Clinical Social Worker in Long Beach, California. Qualified in 1983, 43 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
43
Licensed in
CA
In the registry since
2006
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

5855 E Naples Plz Ste 210
Long Beach, CA 90803-5080
Phone: (562) 987-3335
Fax: (562) 930-1095
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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 LCS13648 (CA)

Record details

NPI number1114099082
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 15, 2006
Last updated in NPPESAugust 28, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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