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

MRS. KELLY CONNOLLY WAYLAND, LCSW

Active Sole Proprietor

MRS. KELLY CONNOLLY WAYLAND, LCSW is a Clinical Social Worker healthcare provider located in SAINT JOHNS, Florida. NPI 1316546518 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SAINT JOHNS, FL

Registration Details

NPI Number
1316546518
Provider Type
Individual
Gender
Female
NPI Issued
Oct 20, 2020 (5.7913935859115 yrs)
Last Updated
Oct 20, 2020
License
17457 (FL)
Sole Proprietor
Yes

Practice Information

Address
190 CLIFTON BAY LOOP
SAINT JOHNS, FL, 322599141
Browse FL providers · Browse ZIP 32259
Phone
6109526801
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SAINT JOHNS, FL

Name Credential NPI
MR. DOUGLAS MARK SHINE L.C.S.W. 1992821201
DEBBIE CARROLL-REBHAN 1114384443
KRISTIN MOORE 1871956169
ALICIA KIERNAN LCSW 1811561848
KELSEY L. BLOOM LCSW 1730892365
ANNA TONSING LCSW 1487350146
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.