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

MRS. KELLY R BLANK MSW, LCSW
NPI 1194630459
Social Worker - Clinical in Lowell, IN

Active since August 18, 2026
2275 OAKWOOD LN, LOWELL, IN 46356(219) 613-7425 Get Directions Write a Review

NPPES record added: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Kelly R Blank Msw, Lcsw NPPES

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

MRS. KELLY R BLANK MSW, LCSW (NPI 1194630459) is an individual clinical provider in Lowell, Indiana, licensed in Indiana (34012994A) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1194630459
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KELLY R BLANKCredential: MSW, LCSW
Location Address2275 OAKWOOD LNLowell, IN 46356-7081
Mailing Address2275 Oakwood LnLowell, IN 46356-7081 · (219) 613-7425
Sole ProprietorYes
Enumeration DateAugust 18, 2026
NPPES CertifiedAugust 18, 2026
NPI 1194630459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IN · 34012994A
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2275 OAKWOOD LN, Lowell, IN 46356

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 Kelly Blank's NPI number?

The NPI number for Kelly Blank is 1194630459. It was assigned to this individual provider in the NPPES registry on August 18, 2026.

Where is Kelly Blank located?

Kelly Blank practices at 2275 Oakwood Ln, Lowell, IN 46356. The listed phone number is (219) 613-7425.

What is Kelly Blank's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kelly Blank was last updated on August 18, 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.