Kellyn Lacey Ishman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW025746 Issued in PA

Practice address

1215 Manor Dr Ste 209
Mechanicsburg, PA 17055-4936

Phone

(717) 790-1700

NPI assigned

Dec 9, 2022

Last updated

Aug 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Be Better Utah

  dba Ellie Mental Health

  • Mental Health Counselor
  • Bountiful, UT
  • NPI 1154051167
  NPD
• Valley Counseling Center

  • Marriage & Family Therapist
  • Mechanicsburg, PA
  • NPI 1174173504

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1316658446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 E PORTLAND ST",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170553349",
            "telephone_number": "717-798-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 MANOR DR STE 209",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554936",
            "telephone_number": "717-790-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHMAN",
        "first_name": "KELLYN",
        "middle_name": "LACEY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carter A. Innerst, DPT
• Insightful Growth Counseling LLC
• Inspired Physical Therapy LLC
• Integrated Medical Transport LLC
• Goodness Ayomide Isaac
• Agnes Itunga
• J&J Jireh Health Services LLC
• Ja Alba LLC
• Bray Thomas Jackson, DPT
• Luke Jacobs, CRNP

• Clinical Social Worker in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.