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

MS. Shannon Marie Kelly, LCSW

Individual provider Social Worker · NPI 1205187788

MS. Shannon Marie Kelly, LCSW is a Social Worker in Ventura, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
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

200 S Wells Rd Ste 250
Ventura, CA 93004-1383
Phone: (805) 647-0991
Fax: (805) 647-7163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LCSW75222 (CA)

Record details

NPI number1205187788
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 25, 2012
Last updated in NPPESMarch 7, 2019

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