Individual provider · Type 1 NPI

Lisa B. Kelly, LCSW

Clinical Social Worker · South Bend, IN

NPI number 1508185141 Active

Practice location

107 N Eddy St
South Bend, IN 46617-2920

Mailing address

132 Marquette Ave
South Bend, IN 46617-1109

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X10805 (MD)
Clinical Social Worker Primary 1041C0700X34006209A (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 1508185141

Lisa B. Kelly, LCSW's National Provider Identifier is 1508185141, issued on May 21, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Bend, IN. The record was last updated on Apr 30, 2013.