Kellie Renee Cousino, LISW
NPI 1295224897ActiveIndividual· Social Worker, Clinical· Toledo, OH
Social Worker, Clinical (LISW) with Mental Health Specialty Group PA and 1 other group, practicing in Toledo, Ohio. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1295224897 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LISW |
| Sole proprietor | No |
| NPI issued | May 9, 2018 |
| Last updated in NPPES | Mar 18, 2026 |
| Certified by provider | Mar 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | I.2203507-SUPV | OH |
| Social Worker, Clinical | 1041C0700X | 15180 | SC |
| Social Worker, Clinical | 1041C0700X | 21506 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (FL); Practitioner - Clinical Social Worker (OH); Practitioner - Clinical Social Worker (SC) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical groups
- Mental Health Specialty Group PALake Worth, FL · 801 clinicians
- Ria Health PCMiramar, FL · 15 clinicians
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All 478 clinical social workers in Toledo · All clinical social workers in Ohio