Selin Kelly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15213 Issued in CT

Practice address

1058 Peck LN
Cheshire, CT 06410-1531

Phone

(475) 303-5494

NPI assigned

May 19, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lycia Therapy LLC.

  • Mental Health Counselor
  • Cheshire, CT
  • NPI 1013870245
  NPD Authorized official
• Ripple Effect Therapy Services LLC

  • Adult Mental Health Clinic/Center
  • Waipahu, HI
  • NPI 1881373306
  NPD

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1770375495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 PECK LN",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101531",
            "telephone_number": "475-303-5494",
            "fax_number": "475-275-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 PECK LN",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101531",
            "telephone_number": "475-303-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SELIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "15213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Phelps Keller, M.S., BCBA
• Nicole Kellner
• Kelly Chiropractic and Rehabilitation Center LLC
• Eric Kelly, DC
• Hannah Rose Kelly, OT
• Amanda Grace Kemp, BCBA
• Patricia Kenning, OTR/L
• Jennifer Lynne Kenworthy, LMSW
• Stacie Leigh Kervin, LPC, NCC
• Shahmeen Khan

• Clinical Social Worker in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.