Provider Demographics
NPI:1205965514
Name:GELNER, KELLY MARIE (LMSW)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:MARIE
Last Name:GELNER
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4C NORTH AVE STE 423
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-2334
Mailing Address - Country:US
Mailing Address - Phone:410-746-9359
Mailing Address - Fax:
Practice Address - Street 1:4C NORTH AVE STE 423
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-2334
Practice Address - Country:US
Practice Address - Phone:410-746-9359
Practice Address - Fax:443-787-0306
Is Sole Proprietor?:No
Enumeration Date:2007-03-04
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC0601101YA0400X
MD25345104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)