Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLI LISCUM
NPI 1104739838
Social Worker in Watertown, NY

Active since September 24, 2026
211 JB WISE PL, WATERTOWN, NY 13601(315) 782-7445 Get Directions Write a Review

NPPES record added: September 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Kelli Liscum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLI LISCUM (NPI 1104739838) is an individual social worker in Watertown, New York and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1104739838
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKELLI LISCUM
Location Address211 JB WISE PLWatertown, NY 13601-2507
Mailing Address1704 State StWatertown, NY 13601-3102
Sole ProprietorNo
Enumeration DateSeptember 24, 2026
NPPES CertifiedSeptember 24, 2026
✔ NPI 1104739838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
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.
211 JB WISE PL, Watertown, NY 13601

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
211 JB WISE PL
WATERTOWN, NY 13601
Art Therapist
211 JB WISE PL
WATERTOWN, NY 13601
Counselor (Mental Health)
211 JB WISE PL
WATERTOWN, NY 13601
Social Worker
211 JB WISE PL
WATERTOWN, NY 13601
Counselor (Mental Health)
211 JB WISE PL
WATERTOWN, NY 13601
Counselor (Mental Health)
211 JB WISE PL
WATERTOWN, NY 13601
Social Worker
211 JB WISE PL
WATERTOWN, NY 13601
Social Worker (Clinical)
211 JB WISE PL
WATERTOWN, NY 13601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelli Liscum's NPI number?

The NPI number for Kelli Liscum is 1104739838. It was assigned to this individual provider in the NPPES registry on September 24, 2026.

Where is Kelli Liscum located?

Kelli Liscum practices at 211 Jb Wise Pl, Watertown, NY 13601. The listed phone number is (315) 782-7445.

What is Kelli Liscum's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kelli Liscum was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.