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Mrs. Shannon Kathleen Kelley, PMHNP,LCSW,CASAC
Psychiatric/Mental Health Nurse Practitioner in Syracuse, New York
NPI 1902089238

Shannon Kathleen Kelley is a Psychiatric/Mental Health Nurse Practitioner based in Syracuse, NY and is specialized in Psychiatric/Mental Health. Shannon Kathleen Kelley practices in Syracuse, NY and has the professional credentials of PMHNP,LCSW,CASAC. The NPI Number for Shannon Kathleen Kelley is 1902089238 and holds a License No. 082228-1 (New York).

The current practice location address for Shannon Kathleen Kelley is 713 Harrison St, Syracuse, NY and can be reached out via phone at 315-464-7655.

Location: 713 Harrison St, Syracuse, NY, 13210-2305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902089238
Provider Name
Shannon Kathleen Kelley
Credential
PMHNP,LCSW,CASAC
Provider Entity Type
Individual
Gender
Female
Address
713 Harrison St, Syracuse, NY, 13210-2305
Phone Number
315-464-7655
Fax Number
Provider Enumeration Date
12/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
713 Harrison St
City
Syracuse
State
New York
Zip
13210-2305
Phone Number
315-464-7655
Fax Number
person
Provider Business Mailing Address Details
Address
713 Harrison St
City
Syracuse
State
New York
Zip
13210-2305
Phone Number
315-464-7655
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
403004 (New York)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
-
Taxonomy
163W00000X
License No.
740606 (New York)
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
082228-1 (New York)
Definition
Definition to come...
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