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

Kelly Howard Serricchio, LISW-CP

Individual provider Clinical Social Worker · NPI 1568722825

Kelly Howard Serricchio, LISW-CP is a Clinical Social Worker in Greenville, South Carolina. Qualified in 2012, 14 years ago. Licensed in South Carolina.

Years since qualifying
14
Licensed in
SC
In the registry since
2012
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

30 Pointe Cir
Greenville, SC 29615-3506
Phone: (864) 655-5193
Fax: (864) 655-5183
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 16875 (SC)

Record details

NPI number1568722825
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-CP
Sole proprietorNo
NPI enumeratedMay 21, 2012
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Greenville