Karen A Kelley, LCSW
Social Worker, Clinical in Jacksonville, FL. Individual provider (NPI-1).
NPI number1932245339
StatusActive
Last updated in NPPESAug 2, 2024
Details
- NPI
- 1932245339
- Entity type
- Individual (NPI-1)
- Name
- Ms. Karen A Kelley
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2007
- Certification date
- Aug 2, 2024
- Last updated
- Aug 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW13180 | FL | Yes |
| 1041C0700X | Social Worker, Clinical | CSW004080 | GA |
Other names
- Karen K Costlow-Nolan (Former Name)
Practice location
221 N Hogan St Ste 236Jacksonville, FL 32202-4201
Phone 229-444-0302
Mailing address
221 N Hogan St Ste 236Jacksonville, FL 32202-4201
Phone 229-444-0302
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