MS. Detra Kelly, LCSW-C
MS. Detra Kelly, LCSW-C is a Clinical Social Worker in Salisbury, Maryland. Qualified in 2007, 19 years ago. Practices with Cove Recovery, LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 19
- Licensed in
- MD
- In the registry since
- 2019
Practice location Address checks out
540 Riverside Dr Ste 8Salisbury, MD 21801-5352
Phone: (410) 548-3333
Fax: (410) 548-3341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 22747 (MD) |
|---|
Record details
| NPI number | 1982245049 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW-C |
| Sole proprietor | Yes |
| NPI enumerated | September 30, 2019 |
| Last updated in NPPES | September 30, 2019 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Cove Recovery, Llc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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