Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Katie M Kissel, LISW-S

Individual provider Social Worker · NPI 1821546953

MS. Katie M Kissel, LISW-S is a Clinical Social Worker in Shelby, Ohio. Qualified in 2017, 9 years ago. Practices with Hope419 LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

4312 Bowman Street Rd
Shelby, OH 44875-8806
Phone: (419) 612-1821
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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.1901950-SUPV (OH)
Social Worker Taxonomy 104100000X · Licence S.1440189 (OH)

Record details

NPI number1821546953
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorNo
NPI enumeratedSeptember 19, 2016
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hope419 Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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