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LISA B KELLY LCSW
NPI 1508185141
Social Worker - Clinical in South Bend, IN

Active since May 21, 2010
107 N EDDY ST, SOUTH BEND, IN 46617(574) 246-1036 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lisa B Kelly Lcsw NPPES

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

LISA B KELLY LCSW (NPI 1508185141) is an individual clinical provider in South Bend, Indiana, licensed in Indiana (34006209A) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1508185141
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA B KELLYCredential: LCSW
Location Address107 N EDDY STSouth Bend, IN 46617-2920
Mailing Address132 Marquette AveSouth Bend, IN 46617-1109 · (410) 262-7468
Phone(574) 246-1036
Sole ProprietorNo
Enumeration DateMay 21, 2010
Last NPPES UpdateApril 30, 2013
✔ NPI 1508185141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IN · 34006209A✔ Licensed in MD · 10805
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.
107 N EDDY ST, South Bend, IN 46617
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Other Providers at the Same Location NPPES 6

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

MRS. MARI CHAMBERLIN MS ED
Counselor (Mental Health)
107 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 246-1036
DR. MITCHELL ROBERT GOLDSTEIN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
107 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 246-1036
MITCHELL R GOLDSTEIN, MD
Counselor (Professional)
107 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 532-0153
KATHY J CANADY-NAGY LCSW
Social Worker (Clinical)
107 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (575) 742-4610
CARRIE CONDER LCSW
Social Worker (Clinical)
107 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 246-1036
ASHLEY S KOLBE MSW
Social Worker
107 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 246-1036

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 Lisa Kelly's NPI number?

The NPI number for Lisa Kelly is 1508185141. It was assigned to this individual provider in the NPPES registry on May 21, 2010.

Where is Lisa Kelly located?

Lisa Kelly practices at 107 N Eddy St, South Bend, IN 46617. The listed phone number is (574) 246-1036.

What is Lisa Kelly'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 Lisa Kelly was last updated on April 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.