Provider Demographics
NPI:1790827285
Name:CLANA, KELLY ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:KELLY
Middle Name:ANN
Last Name:CLANA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 W INDIANHEAD DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-5868
Mailing Address - Country:US
Mailing Address - Phone:850-591-1959
Mailing Address - Fax:
Practice Address - Street 1:2944 PENN AVE STE L
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32448-2741
Practice Address - Country:US
Practice Address - Phone:850-526-5500
Practice Address - Fax:850-526-5536
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 57161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical