NPI 1033414313

Ethan A. Kelly, MSW

Practitioner Clinical Social Worker Old Saybrook, CT

Practice location

Address: 263 Main St, Old Saybrook, CT 06475-2326
Phone: (860) 395-6380
Fax: (860) 395-6382

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in Connecticut →

Registry record

NPI: 1033414313
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2011
Record last updated: 26 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.