Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelli Renee Deckard, LCSW

Individual provider Clinical Social Worker · NPI 1144922915

Kelli Renee Deckard, LCSW is a Clinical Social Worker in Bloomington, Indiana. Qualified in 2017, 9 years ago. Practices with Jennifer Spencer PHD Hspp PC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

482 S Landmark Ave
Bloomington, IN 47403-5000
Phone: (812) 333-8474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 817 W 17th St Ste 2, Bloomington, IN 47404-3333 — (812) 361-3454

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34010292A (IN)

Record details

NPI number1144922915
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 17, 2023
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Jennifer Spencer Phd Hspp Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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