National Provider Identifier
Jerry S Kelly, LCSW-R
Jerry S Kelly, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Cheektowaga, NY and a listed phone number of (716) 681-7394.
Profile Overview
- NPI
- 1962559278
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 05, 2007
- Last Updated
- July 08, 2007
Practice Location
- 3719 Union RD
- Cheektowaga, NY 14225-4249
Phone: (716) 681-7394
Mailing Address
- 525 Washington St
- Buffalo, NY 14203-1711
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1962559278
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Jerry
- Middle Name
- S
- Credential
- LCSW-R
- Mailing Street Address
- 525 Washington St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1711
- Mailing Country
- US
- Mailing Phone
- (716) 856-4494
- Mailing Fax
- (716) 842-1277
- Practice Street Address
- 3719 Union RD
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-4249
- Practice Country
- US
- Practice Phone
- (716) 681-7394
- Practice Fax
- (716) 685-9087
- Enumeration Date
- January 05, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 00030241501 (NY, Univera)