MR. JONATHAN ROBERT KELLY LMSW NPI 1053023770

NPI Information

  • NPI: 1053023770
  • Provider Name: MR. JONATHAN ROBERT KELLY, LMSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 5505 NESCONSET HWY STE 222
    MOUNT SINAI, NY
    ZIP 11766
  • Phone: (631) 892-2482

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NPI Details

MR. Jonathan Robert Kelly, LMSW is a clinical social worker in Mount Sinai, NY. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MR. Jonathan Robert Kelly, LMSW NPI is 1053023770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5505 NESCONSET HWY STE 222
MOUNT SINAI, NY
ZIP 11766-026
Phone: (631) 892-2482

The enumeration date for this NPI number is 12/14/2022 and was last updated on 12/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical117202-01NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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