Provider Demographics
NPI:1730108226
Name:KELSEY, PATRICIA L (LCSW, CASAC)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:L
Last Name:KELSEY
Suffix:
Gender:F
Credentials:LCSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 ARCAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-3630
Mailing Address - Country:US
Mailing Address - Phone:585-225-9720
Mailing Address - Fax:585-225-6898
Practice Address - Street 1:20 ARCAMPUS DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14612-3630
Practice Address - Country:US
Practice Address - Phone:585-225-9720
Practice Address - Fax:585-225-6898
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YA0400X
NY010061158101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY121957FKOtherPREFERRED CARE
NY010061158OtherEXCELLUS
NY7386562OtherAETNA