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

MS. Teresa Kelly, LCSW-R

Individual provider Clinical Social Worker · NPI 1053522102

MS. Teresa Kelly, LCSW-R is a Clinical Social Worker in Locust Valley, New York. Qualified in 1989, 37 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
37
Licensed in
NY
In the registry since
2007

Practice location Address checks out

48 13th St
Locust Valley, NY 11560-1526
Phone: (516) 676-0705
Show map & directions

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

Additional practice locations (1)

  • 10 Cedar Swamp Rd Ste 4, Glen Cove, NY 11542-3746 — (516) 456-5401

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R0558451 (NY)

Record details

NPI number1053522102
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedMay 24, 2007
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Locust Valley