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

TERRELL L. KELLY, LCSW

Active Sole Proprietor

TERRELL L. KELLY, LCSW is a Clinical Social Worker healthcare provider located in DRIGGS, Idaho. NPI 1417015876 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · DRIGGS, ID

Registration Details

NPI Number
1417015876
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2006 (19.673478919095 yrs)
Last Updated
Jul 8, 2007
Licenses
LCSW-431 (ID)
LCSW-454 (WY)
Sole Proprietor
Yes

Practice Information

Address
120 E HOWARD ST
DRIGGS, ID, 834225112
Browse ID providers · Browse ZIP 83422
Phone
2083546317
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in DRIGGS, ID

Name Credential NPI
CHRISTINA ELLA EMDE RILEY L.C.S.W. 1043377120
LOUIS J PARRI CSWP 1821117664
JEFF ROELKE 1548915028
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.