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

MS. Deidra Kelly, CAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1770151136

MS. Deidra Kelly, CAC is an Addiction (Substance Use Disorder) Counselor in Brooklyn, Maryland. Practices as a sole proprietor and works from 2 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2021

Practice location Address checks out

112 E Patapsco Ave
Brooklyn, MD 21225-1745
Phone: (667) 260-2595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4268 Sands Rd, Harwood, MD 20776-9419 — (410) 967-9131

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence AC2833 (MD)

Record details

NPI number1770151136
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAC
Sole proprietorYes
NPI enumeratedJune 14, 2021
Last updated in NPPESJune 14, 2021
Certification dateJune 14, 2021

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