NPI 1417015876

Terrell L. Kelly, LCSW

Practitioner Clinical Social Worker Driggs, ID

Practice location

Address: 120 E Howard St, Driggs, ID 83422-5112
Phone: (208) 354-6317

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCSW-431 (ID)

Other Social Worker providers in Idaho →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LCSW-454 (WY)

Registry record

NPI: 1417015876
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2006
Record last updated: 8 Jul 2007

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.