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

Individual provider Clinical Social Worker · NPI 1316402852

Kelly Souder, LICSW is a Clinical Social Worker in Spokane Valley, Washington. Practices as a sole proprietor. Licensed in Connecticut and Washington.

Licensed in
CT, WA
In the registry since
2019
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

14519 E 20th Ct
Spokane Valley, WA 99037-9471
Phone: (860) 213-6607
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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 LW60915408 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 009820 (CT)

Record details

NPI number1316402852
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 8, 2019
Last updated in NPPESFebruary 8, 2019

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