DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ETHAN A. KELLY, MSW

Active

MR. ETHAN A. KELLY, MSW is a Clinical Social Worker healthcare provider located in OLD SAYBROOK, Connecticut. NPI 1033414313 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · OLD SAYBROOK, CT

Registration Details

NPI Number
1033414313
Provider Type
Individual
Gender
Male
NPI Issued
Jan 19, 2011 (15.548179671493 yrs)
Last Updated
Apr 26, 2011

Practice Information

Address
263 MAIN ST
OLD SAYBROOK, CT, 064752326
Browse CT providers · Browse ZIP 06475
Phone
8603956380
Fax
8603956382
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in OLD SAYBROOK, CT

Name Credential NPI
RICHARD D GINTY L.A.D.C., LCSW 1306890116
LAUREL WOOD LCSW 1699790758
MRS. MARIA ANNE BELVAL LCSW 1073528931
ANTHONY RECZEK 1679664551
DEIRDRE PLYER MSW 1811083090
VIRGINIA BECKER RHODES LCSW 1013097187
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.