Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KELLY LEEDY LISW-S
NPI 1982288858
Social Worker - Clinical in Beachwood, OH

Active since May 07, 2021PECOS Enrolled
3659 GREEN RD STE 332-34, BEACHWOOD, OH 44122(216) 435-1517 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2023, May 7, 2021 (2 updates tracked since 2021).

About Kelly Leedy Lisw-s NPPES

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

KELLY LEEDY LISW-S (NPI 1982288858) is an individual clinical provider in Beachwood, Ohio, licensed in Ohio (I.1901753) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1982288858
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY LEEDYCredential: LISW-S
Location Address3659 GREEN RD STE 332-34Beachwood, OH 44122-5727
Mailing Address4370 Silsby RdUniversity Heights, OH 44118-3937 · (216) 435-1517
Sole ProprietorYes
Enumeration DateMay 7, 2021
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
NPI 1982288858 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 OH · I.1901753
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.

3659 GREEN RD STE 332-34, Beachwood, OH 44122

Secondary Practice Location 1

Location 1620 E Broad StColumbus, OH 43215-4037 · Phone (614) 914-6690

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Leedy Lisw-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
3659 GREEN RD STE 332-34
BEACHWOOD, OH 44122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982288858, enumerated as an "individual" on May 07, 2021.

The provider is located at 3659 GREEN RD STE 332-34 BEACHWOOD, OH 44122 and the phone number is (216) 435-1517.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.