Sara Anne Kelly, LICSW
Social Worker, Clinical in Minneapolis, MN. Individual provider (NPI-1).
NPI number1063301547
StatusActive
Last updated in NPPESMar 25, 2026
Details
- NPI
- 1063301547
- Entity type
- Individual (NPI-1)
- Name
- Sara Anne Kelly
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2025
- Certification date
- Mar 25, 2026
- Last updated
- Mar 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 29093 | MN | Yes |
Practice location
1527 E Lake StMinneapolis, MN 55407-6700
Phone 612-729-0340
Mailing address
1527 E Lake StMinneapolis, MN 55407-6700
Other practice locations
2920 Bryant Ave S Ste 111
Minneapolis, MN 55408-2332
Minneapolis, MN 55408-2332
Phone 631-965-7057
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