Provider Demographics
NPI:1285529297
Name:KANE, KELSEY (CSW-I, LMSW)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:KANE
Suffix:
Gender:F
Credentials:CSW-I, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 BLUFFS AVE
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-2479
Mailing Address - Country:US
Mailing Address - Phone:775-777-8477
Mailing Address - Fax:
Practice Address - Street 1:215 BLUFFS AVE
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-2479
Practice Address - Country:US
Practice Address - Phone:775-777-8477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVIC-27061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical