Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY SISSON, LICSW
Active Sole ProprietorMRS. KELLY SISSON, LICSW is a Clinical Social Worker healthcare provider located in ZEELAND, North Dakota. NPI 1770906760 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ZEELAND, ND
Registration Details
- NPI Number
- 1770906760
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 27, 2014 (12.550215861728 yrs)
- Last Updated
- May 19, 2023
- Licenses
-
149016432 (IL)4978 (ND)
- Sole Proprietor
- Yes
Practice Information
- Address
-
407 4TH AVE SWZEELAND, ND, 585814047Browse ND providers · Browse ZIP 58581
- Phone
- 7015955789
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.