Active NPIIndividual providerSole proprietor

Amy Kelly, LICSW, MLADC, LCS

Social Worker, Clinical in Manchester, New Hampshire

NPI Number1801047972
Practice location
373 S Willow St # 125, Manchester, NH 03103-5751
Fax
—
Last updated
June 23, 2025

Amy Kelly is a Social Worker, Clinical based in Manchester, NH. Amy Kelly practices in Manchester, NH and has the professional credentials of LICSW, MLADC, LCS. The NPI Number for Amy Kelly is 1801047972 and holds a License No. 528 (NH). The current practice location address for Amy Kelly is 373 S Willow St # 125, Manchester, NH 03103-5751 and can be reached out via phone at 603-260-0646.

Provider Profile Details

NPI Number
1801047972
Provider Name
Amy Kelly
Credential
LICSW, MLADC, LCS
Provider Entity Type
Individual
Gender
Female
Address
373 S Willow St # 125, Manchester, NH 03103-5751
Phone Number
603-260-0646
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 7, 2008
Last Update Date
June 23, 2025
Certification Date
June 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
373 S Willow St # 125
Manchester, NH 03103-5751
Zip
03103-5751
Phone Number
603-260-0646
Manchester, NH 03103Get directions →

Provider Business Mailing Address Details

Address
373 S Willow St # 125
Manchester, NH 03103-5751
City
Manchester
State
NH
Zip
03103-5751
Phone Number
603-260-0646
Fax Number
603-218-7099

License Information

License Number (1)
528
License State (1)
NH
License Number (2)
1145
License State (2)
NH
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amy Kelly, LICSW, MLADC, LCS?

The NPI number of Amy Kelly, LICSW, MLADC, LCS is 1801047972. It was assigned on October 7, 2008 and is currently active in the NPPES registry.

What is the specialty of Amy Kelly, LICSW, MLADC, LCS?

Amy Kelly, LICSW, MLADC, LCS is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NH under license number 528.

Where does Amy Kelly, LICSW, MLADC, LCS practice?

The practice location is 373 S Willow St # 125, Manchester, NH 03103-5751. The office can be reached at 603-260-0646 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801047972 directly on the NPPES registry website.

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