Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kellie Lyn Rae, LISW

Individual provider Clinical Social Worker · NPI 1700076817

Kellie Lyn Rae, LISW is a Clinical Social Worker in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

5743 Forest Elm Ln Apt B
Columbus, OH 43229-3753
Phone: (614) 582-9374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 7839 (OH)

Record details

NPI number1700076817
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedJuly 26, 2007
Last updated in NPPESJuly 16, 2013

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