National Provider Identifier

Kelly Kane Bracken, LCSW

Kelly Kane Bracken, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Hornell, NY and a listed phone number of (607) 324-7880.

NPI 1457139271Hornell, NYClinical Social Worker

Profile Overview

NPI
1457139271
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
September 21, 2023
Last Updated
September 21, 2023

Practice Location

  • 1126 Bald Hill RD
  • Hornell, NY 14843-1262

Phone: (607) 324-7880

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1457139271
Entity Type
Individual
Last Name
Bracken
First Name
Kelly
Middle Name
Kane
Credential
LCSW
Mailing Street Address
1126 Bald Hill RD
Mailing City
Hornell
Mailing State
NY
Mailing ZIP Code
14843-1262
Mailing Country
US
Mailing Phone
(607) 324-7880
Practice Street Address
1126 Bald Hill RD
Practice City
Hornell
Practice State
NY
Practice ZIP Code
14843-1262
Practice Country
US
Practice Phone
(607) 324-7880
Enumeration Date
September 21, 2023
Last Updated
September 21, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
September 21, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)