Kelly Gross, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2304353 Issued in OH

Practice address

1229 Lincoln Hwy
Van Wert, OH 45891-1877

Phone

(419) 238-1695

Fax

(419) 238-1007

NPI assigned

Apr 18, 2018

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Momentum Counseling and Consultation, LLCGroup PAC ID 3971880121, 16 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Momentum Counseling and Consultation, LLC

  • Clinical Social Worker
  • Celina, OH
  • NPI 1225582752
  Medicare reassignment Care Compare group NPD
• The Marsh Foundation

  • Community/Behavioral Health Agency
  • Van Wert, OH
  • NPI 1912987371
  NPD

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1487141172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458910150",
            "telephone_number": "419-238-1695",
            "fax_number": "419-238-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 LINCOLN HWY",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458911877",
            "telephone_number": "419-238-1695",
            "fax_number": "419-238-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "KELLY",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0287459",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15880621",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney N Grieser
• Natalie Griffiths
• Patrick Alan Grilliot, LSW, CDCA
• Sherry Grone, QMHS
• Douglas Grooms, NCSP
• Madison N Hagaman
• Melanie Marie Halker
• Kaitlin Marie Hallfeldt
• Taylor Jan Hamrick, OTR/L
• Jianming Han, M.D.

• Clinical Social Worker in Van Wert, OH
• Providers in Van Wert, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.