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

Sara Anne Kelly, LICSW

Individual provider Clinical Social Worker · NPI 1063301547

Sara Anne Kelly, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2025
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1527 E Lake St
Minneapolis, MN 55407-6700
Phone: (612) 729-0340
Show map & directions

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

Additional practice locations (1)

  • 2920 Bryant Ave S Ste 111, Minneapolis, MN 55408-2332 — (631) 965-7057

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 29093 (MN)

Record details

NPI number1063301547
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 30, 2025
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

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