Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Obrien Licensed Clinical Social Worker

Organization Clinical Social Worker · NPI 1780448183

Kelly Obrien Licensed Clinical Social Worker provides Clinical Social Worker services in East Syracuse, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

365 Summerhaven Dr N
East Syracuse, NY 13057-3130
Phone: (315) 325-8619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1780448183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly O'Brien — Sole Mbr · (315) 325-8619
NPI enumeratedFebruary 7, 2024
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024
Mailing address365 Summerhaven Dr N, East Syracuse, NY 13057-3130

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