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TONI KELLY LCSW
NPI 1003571464
Social Worker - Clinical in Madison, TN

Active since November 01, 2021PECOS EnrolledAccepts Medicare Assignment
1037 E OLD HICKORY BLVD, MADISON, TN 37115(615) 625-2211 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Toni Kelly Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONI KELLY LCSW (NPI 1003571464) is an individual clinical provider in Madison, Tennessee, licensed in Tennessee (7882) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003571464
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTONI KELLYCredential: LCSW
Location Address1037 E OLD HICKORY BLVDMadison, TN 37115-4160
Mailing Address4157 Grapevine LoopSmyrna, TN 37167-1178 · (615) 522-1235
Phone(615) 625-2211
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 1, 2021
NPPES CertifiedNovember 1, 2021
✔ NPI 1003571464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TN · 7882
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1037 E OLD HICKORY BLVD, Madison, TN 37115
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Toni Kelly Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830589415
PECOS Enrollment IDI20211214002784
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES WINTERS JR. M.D.
Internal Medicine (Gastroenterology)
1037 E OLD HICKORY BLVD
MADISON, TN 37115
Davidson County (615) 860-0228
BEVERLY DAVIDSON DNP, FNP-BC
Nurse Practitioner (Family)
1037 E OLD HICKORY BLVD
MADISON, TN 37115
Davidson County (615) 865-3994
AGAPE FAMILY HEALTHCARE LLC
Clinic/Center (Primary Care)
1037 E OLD HICKORY BLVD
MADISON, TN 37115
Davidson County (615) 865-3994

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Toni Kelly's NPI number?

The NPI number for Toni Kelly is 1003571464. It was assigned to this individual provider in the NPPES registry on November 1, 2021.

Where is Toni Kelly located?

Toni Kelly practices at 1037 E Old Hickory Blvd, Madison, TN 37115. The listed phone number is (615) 625-2211.

What is Toni Kelly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Toni Kelly enrolled in Medicare?

Yes. Toni Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Toni Kelly accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Toni Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Toni Kelly was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.