Sara Kelly PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SARA KELLY PLLC

Practice address

3136 10TH Ave S Apt 4
Minneapolis, MN 55407-1765

Phone

(631) 965-7057

NPI assigned

Mar 18, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sara Kelly, LICSWNPI 1063301547

Title

Psychotherapist

Phone

(631) 965-7057

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Anne Kelly, LICSW

  • Clinical Social Worker
  • Minneapolis, MN
  • NPI 1063301547
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1134077969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 10TH AVE S APT 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071765",
            "telephone_number": "631-965-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 10TH AVE S APT 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071765",
            "telephone_number": "631-965-7057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 Bryant Ave S Ste 111",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554082332",
            "country_code": "US",
            "telephone_number": "631-965-7057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SARA KELLY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "631-965-7057",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hadijatou Sanyang
• Tammy Lynn Saphir, PT
• Ashley Sapieja, DNP, WHNP-BC
• Kathleen H Sapp
• Marcine Joy Sapuriada I, RN
• Teresa Saracino, LICSW
• Kyriakie Sarafoglou, MD
• Sarah Lazarewicz Psychotherapy & Healing LLC
• Sarah Rinehart
• Melanie Sard, OTR/L

• Clinical Social Worker in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.