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

Kelly Marie Black, LISW

Individual provider Clinical Social Worker · NPI 1518278209

Kelly Marie Black, LISW is a Clinical Social Worker in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2010.

Licensed in
OH
In the registry since
2010
Specialties on file
3
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

1744 Payne Ave
Cleveland, OH 44114-2910
Phone: (216) 623-6555
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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 I.1700442 (OH)
Clinical Social Worker Taxonomy 1041C0700X
Social Worker Taxonomy 104100000X · Licence S.0900906 (OH)

Record details

NPI number1518278209
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedJune 28, 2010
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023

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