Individual provider · Type 1 NPI

Kellyn Lacey Ishman, LCSW

Clinical Social Worker · Mechanicsburg, PA

NPI number 1316658446 Active

Practice location

1215 Manor Dr Ste 209
Mechanicsburg, PA 17055-4936

Call (717) 790-1700 Map

Mailing address

24 E Portland St
Mechanicsburg, PA 17055-3349

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW025746 (PA)

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 1316658446

Kellyn Lacey Ishman, LCSW's National Provider Identifier is 1316658446, issued on Dec 9, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mechanicsburg, PA. The record was last updated on Aug 18, 2026.