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

Mrs. Kelly Sisson, LICSW

Individual provider Clinical Social Worker · NPI 1770906760

Mrs. Kelly Sisson, LICSW is a Clinical Social Worker in Zeeland, North Dakota. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Illinois and North Dakota.

Licensed in
IL, ND
In the registry since
2014
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

407 4th Ave SW
Zeeland, ND 58581-4047
Phone: (701) 595-5789
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4978 (ND)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149016432 (IL)

Record details

NPI number1770906760
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 27, 2014
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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