National Provider Identifier
Jacalyn P Kelly, LCSW
Jacalyn P Kelly, LCSW is listed in the NPPES registry with a primary specialty of Social Worker in Orchard Park, NY and a listed phone number of (716) 675-9232.
Profile Overview
- NPI
- 1447322995
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- November 13, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3065 Southwestern Boulevard
- Suite 204
- Orchard Park, NY 14127
Phone: (716) 675-9232
Mailing Address
- 315 Alberta Drive
- Suite 211
- Amherst, NY 14226
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1447322995
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Jacalyn
- Middle Name
- P
- Credential
- LCSW
- Mailing Street Address
- 315 Alberta Drive
- Mailing Address Line 2
- Suite 211
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226
- Mailing Country
- US
- Mailing Phone
- (716) 837-6705
- Mailing Fax
- (716) 837-6759
- Practice Street Address
- 3065 Southwestern Boulevard
- Practice Address Line 2
- Suite 204
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127
- Practice Country
- US
- Practice Phone
- (716) 675-9232
- Practice Fax
- (716) 675-9217
- Enumeration Date
- November 13, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)
- Other Identifiers
- 00026422101 (Univera), 000540315001 (Blue Cross), 6212551 (Independent Health)