Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shannon Kathleen Kelley, PMHNP, LCSW, CASAC

Individual provider Clinical Social Worker · NPI 1902089238

Mrs. Shannon Kathleen Kelley, PMHNP, LCSW, CASAC is a Clinical Social Worker in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.
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

713 Harrison St
Syracuse, NY 13210-2305
Phone: (315) 464-7655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 403004 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 082228-1 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 740606 (NY)

Record details

NPI number1902089238
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP , LCSW , CASAC
Sole proprietorYes
NPI enumeratedDecember 10, 2007
Last updated in NPPESFebruary 25, 2021
Certification dateFebruary 24, 2021

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