Individual provider · Type 1 NPI

Kelly G. Dicenso, LISW-CP

Clinical Social Worker · Greenville, SC

NPI number 1053622829 Active

Practice location

1708 W Parker Rd
Greenville, SC 29617-2713

Call (812) 201-3225 Map

Mailing address

1708 W Parker Rd Ste 202
Greenville, SC 29617-2713

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12187 (SC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1053622829

Kelly G. Dicenso, LISW-CP's National Provider Identifier is 1053622829, issued on Jun 28, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Greenville, SC. The record was last updated on Aug 11, 2026.