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NPI Code Detail

MEDICARE: KELSEA LENAE GUSSLER LISW

MEDICARE: KELSEA LENAE GUSSLER LISW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI.2507162OH

General Provider Information

NPI Number : 1811693385
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEA LENAE GUSSLER LISW
Provider Business Mailing Address
First Line : 4805 TSCHOPP RD NE
Second Line :
City : LANCASTER
State : OH
Zip : 43130-9150
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 150 TAYLOR STATION RD STE 310
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1157
Country : US
Telephone Number : 614-986-2790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2023
Last Update Date : 10/14/2025

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Directions to “ KELSEA LENAE GUSSLER LISW” Practice Location

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