Individual provider · Type 1 NPI

Kelly R. Blank, MSW, LCSW

Clinical Social Worker · Lowell, IN

NPI number 1194630459 Active

Practice location

2275 Oakwood Ln
Lowell, IN 46356-7081

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34012994A (IN)

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 1194630459

Kelly R. Blank, MSW, LCSW's National Provider Identifier is 1194630459, issued on Aug 18, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lowell, IN. The record was last updated on Aug 18, 2026.