Individual provider · Type 1 NPI

Kelly A. Vansickle, LSW

Clinical Social Worker · Columbus, OH

NPI number 1275806879 Active

Practice location

527 S High St
Columbus, OH 43215-5602

Fax (614) 227-9445

Mailing address

1801 Watermark Dr, Ste 200
Columbus, OH 43215-7088

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Clinical Social Worker Primary 1041C0700XI.1303572-SUPV (OH)
Social Worker 104100000XS.0901492 (OH)

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 1275806879

Kelly A. Vansickle, LSW's National Provider Identifier is 1275806879, issued on Feb 14, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbus, OH. The record was last updated on Feb 24, 2021.