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KELLY A MUNDELL MSW LCSW
NPI 1861892895
Social Worker - Clinical in Evansville, IN

Active since August 27, 2014
4001 JOHN ST, EVANSVILLE, IN 47714(812) 473-3104(812) 422-7558 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly A Mundell Msw Lcsw NPPES

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

KELLY A MUNDELL MSW LCSW (NPI 1861892895) is an individual clinical provider in Evansville, Indiana, licensed in Indiana (34007123A) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1861892895
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY A MUNDELLCredential: MSW LCSW
Location Address4001 JOHN STEvansville, IN 47714-0216
Mailing Address415 Mulberry StEvansville, IN 47713-1230 · (812) 436-4232 · Fax (812) 422-7558
Phone(812) 473-3104
Fax(812) 422-7558
Sole ProprietorNo
Enumeration DateAugust 27, 2014
Last NPPES UpdateMarch 24, 2016
✔ NPI 1861892895 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 · 34007123A
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.
4001 JOHN ST, Evansville, IN 47714
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Other Identifiers 5

Other12777494Caqh
Other168890IN · Siho
Other839090011IN · Medicare
Medicaid100240880IN
Other000000930972IN · Anthem

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.

LAURA M FAULKNER MSW, LCSW
Social Worker (Clinical)
4001 JOHN ST
EVANSVILLE, IN 47714
Vanderburgh County (812) 473-3144
BRITTANY BAILEY MSW
Social Worker (Clinical)
4001 JOHN ST
EVANSVILLE, IN 47714
Vanderburgh County (813) 473-3144
MARY LOU DICK RN
Registered Nurse (Psychiatric/Mental Health)
4001 JOHN ST
EVANSVILLE, IN 47714
Vanderburgh County (812) 473-3144
LISA M GWALTNEY MSW LCSW
Social Worker (Clinical)
4001 JOHN ST
EVANSVILLE, IN 47714
Vanderburgh County (812) 473-3144
TAYLOR HATFIELD LCSW
Social Worker (Clinical)
4001 JOHN ST
EVANSVILLE, IN 47714
Vanderburgh County (812) 473-3144
STEPHEN 'YANCEY' FERGUSON MSW
Social Worker (Clinical)
4001 JOHN ST
EVANSVILLE, IN 47714
Vanderburgh County (812) 473-3144
MS. CAROL PERIOU MSW
Social Worker (Clinical)
4001 JOHN ST
EVANSVILLE, IN 47714
Vanderburgh County (812) 473-3144
REID SCHULTHEIS MSW
Social Worker
4001 JOHN ST
EVANSVILLE, IN 47714
Vanderburgh County (812) 473-3144

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 Mundell's NPI number?

The NPI number for Kelly Mundell is 1861892895. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Where is Kelly Mundell located?

Kelly Mundell practices at 4001 John St, Evansville, IN 47714. The listed phone number is (812) 473-3104.

What is Kelly Mundell'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 Mundell was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.