Amy Kelly, LICSW,MLADC, LCS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1145 Issued in NH

Practice address

373 S Willow St # 125
Manchester, NH 03103-5751

Phone

(603) 260-0646

NPI assigned

Oct 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Foundations Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Litchfield, NH
  • NPI 1417845033
  NPD Authorized official
• 713 Chestnut Street Counseling, LLC

  • Mental Health Counselor
  • Manchester, NH
  • NPI 1881845519

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1801047972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 S WILLOW ST # 125",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035751",
            "telephone_number": "603-260-0646",
            "fax_number": "603-218-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 S WILLOW ST # 125",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035751",
            "telephone_number": "603-260-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "AMY",
        "credential": "LICSW,MLADC, LCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "528",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Kelley
• Whitney Kelley, PMHNP-BC
• Laura E Kelliher, APRN
• Kelly M. Ginnard, DMD
• Rachel M Kelly-Martin
• Anna Kathleen Kelly
• Dennis L Kelly, MD
• Kimberly C. Kelly, M.ED., BCBA
• Laurence Merrill Kelly Sr., ED.D.
• Linda Kelly, LICSW

• Clinical Social Worker in Manchester, NH
• Providers in Manchester, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.