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

Kelly Lee Altic, LSW

Individual provider Social Worker · NPI 1508735366

Kelly Lee Altic, LSW is a Social Worker in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Practice location Address checks out

4100 W 3rd St
Dayton, OH 45428-9000
Phone: (937) 268-6511
Fax: (937) 267-7596
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence S.1803088 (OH)

Record details

NPI number1508735366
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorYes
NPI enumeratedOctober 31, 2025
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

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