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

Mrs. Kelly Connolly Wayland, LCSW

Individual provider Clinical Social Worker · NPI 1316546518

Mrs. Kelly Connolly Wayland, LCSW is a Clinical Social Worker in Saint Johns, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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

190 Clifton Bay Loop
Saint Johns, FL 32259-9141
Phone: (610) 952-6801
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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 17457 (FL)

Record details

NPI number1316546518
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 20, 2020
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020

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