Active NPI
Kelly Leedy, LISW-S
- Clinical Social Worker
- Beachwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1901753
- Practice address
- 3601 Green Rd Ste 206
Beachwood, OH 44122-5719 - Phone
- (216) 435-1517
- NPI assigned
- May 7, 2021
- Last updated
- Sep 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1901753 | OH | Primary |
Addresses
Primary practice location
3601 Green Rd Ste 206
Beachwood, OH 44122-5719
Mailing address
4370 Silsby Rd
University Heights, OH 44118-3937
Phone (216) 435-1517
Other practice location 1
620 E Broad St
Columbus, OH 43215-4037
Phone (614) 914-6690
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1901753 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Bridges Therapy and Wellness | Clinical | Current | Accepting new patients |
| Optum Behavioral Care of Ohio, Inc | Current | Accepting new patients | |
| Optum Behavioral Care of Ohio, Inc. | Clinical | Current | Accepting new patients |
| Optum Behavioral Care of Ohio, Inc | Current | Accepting new patients | |
| Optum Behavioral Care of Ohio, Inc | Past | Accepting new patients |
Locations
23811 Chagrin Blvd
Ste 116
Beachwood, OH 44122
Phone (216) 282-6432
3601 Green Rd
Ste 206
Beachwood, OH 44122
4624 Sawmill Rd
Columbus, OH 43220
Phone (614) 456-4490
620 E Broad St
Ste 301
Columbus, OH 43215
Phone (614) 674-6076
Interoperability endpoints
- kelly.leedy.1@28621.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba The Center for Cognitive and Behavioral Therapy of Ohio
- Counseling Psychologist
- Columbus, OH
- NPI 1285400978
-
- Clinical Social Worker
- Beachwood, OH
- NPI 1245119429
-
dba Arbor Counseling of Ohio
- Counseling Psychologist
- Circleville, OH
- NPI 1578325759
-
- Clinical Social Worker
- Maryland Heights, MO
- NPI 1528945623
-
dba Affirmations Psychological Services of Ohio
- Counseling Psychologist
- Columbus, OH
- NPI 1952177644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1982288858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4370 SILSBY RD",
"city": "UNIVERSITY HEIGHTS",
"state": "OH",
"postal_code": "441183937",
"telephone_number": "216-435-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 GREEN RD STE 206",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225719",
"telephone_number": "216-435-1517"
}
],
"practiceLocations": [
{
"address_1": "620 E Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432154037",
"country_code": "US",
"telephone_number": "614-914-6690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEEDY",
"first_name": "KELLY",
"credential": "LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-07",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1901753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.