National Provider Identifier
Sherman Kelly, LCSW-R
Sherman Kelly, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 273-7494.
Profile Overview
- NPI
- 1760656680
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- April 22, 2008
- Last Updated
- April 22, 2008
Practice Location
- 204 N Cayuga St
- Ithaca, NY 14850-4333
Phone: (607) 273-7494
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1760656680
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Sherman
- Credential
- LCSW-R
- Mailing Street Address
- 204 N Cayuga St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4333
- Mailing Country
- US
- Mailing Phone
- (607) 273-7494
- Mailing Fax
- (607) 273-7484
- Practice Street Address
- 204 N Cayuga St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4333
- Practice Country
- US
- Practice Phone
- (607) 273-7494
- Practice Fax
- (607) 273-7484
- Enumeration Date
- April 22, 2008
- Last Updated
- April 22, 2008
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)