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

Q: 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.

Q: What is Toni Kelly's specialty?

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

Q: 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 5 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.

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: November 01, 2026.

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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, Cigna Healthcare, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Toni Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Step Up Care Of Tennessee LLC

78 mi

Psychologist

1250 FARROW RD
Memphis, TN 38116

Reassigned Medicare billing, Tennessee enrollment
72 clinicians in this Medicare group

NPI 1023660206 (718) 298-4375

Toni Kelly Counseling & Consulting

121 mi

Clinical

900 GLENDALE LN
Nashville, TN 37204

Reassigned Medicare billing, Tennessee enrollment

NPI 1093470452 (615) 625-2211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Toni Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Kelly reassigns Medicare benefits to 2 organizations: Step Up Care Of Tennessee LLC (Memphis, TN) and Toni Kelly Counseling & Consulting (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Toni Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toni Kelly accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, 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 5 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.