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

MS. Kellie Renee Cousino, LISW

Individual provider Clinical Social Worker · NPI 1295224897

MS. Kellie Renee Cousino, LISW is a Clinical Social Worker in Toledo, Ohio. Qualified in 2016, 10 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida, Ohio and South Carolina.

Years since qualifying
10
Licensed in
FL, OH, SC
In the registry since
2018
Specialties on file
3
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

2606 102nd St
Toledo, OH 43611-2010
Phone: (419) 217-2122
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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.2203507-SUPV (OH)
Clinical Social Worker Taxonomy 1041C0700X · Licence 15180 (SC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 21506 (FL)

Record details

NPI number1295224897
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedMay 9, 2018
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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