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

Lisa B Kelly, LCSW

Individual provider Clinical Social Worker · NPI 1508185141

Lisa B Kelly, LCSW is a Clinical Social Worker in South Bend, Indiana. Licensed in Indiana and Maryland. Registered with an NPI since 2010.

Licensed in
IN, MD
In the registry since
2010
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

107 N Eddy St
South Bend, IN 46617-2920
Phone: (574) 246-1036
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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 34006209A (IN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 10805 (MD)

Record details

NPI number1508185141
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 21, 2010
Last updated in NPPESApril 30, 2013

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