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

Kelly Mariska, LCSW

Individual provider Social Worker · NPI 1053991190

Kelly Mariska, LCSW is a Clinical Social Worker in Pittsburgh, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Persoma PC, a 22-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2021
Specialties on file
2
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

628 Summerlea St Apt 3
Pittsburgh, PA 15232-2078
Phone: (612) 616-2142
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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 CW025094 (PA)
Social Worker Taxonomy 104100000X · Licence SW136241 (PA)

Record details

NPI number1053991190
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 13, 2021
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Persoma P.C. — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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