Individual provider · Type 1 NPI

Kelli Liscum

Social Worker · Watertown, NY

NPI number 1104739838 Active

Practice location

211 Jb Wise Pl
Watertown, NY 13601-2507

Call (315) 782-7445 Map

Mailing address

1704 State St
Watertown, NY 13601-3102

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000XNone listed

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1104739838

Kelli Liscum's National Provider Identifier is 1104739838, issued on Sep 24, 2026. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Watertown, NY. The record was last updated on Sep 24, 2026.