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KELLI EVELYN ENSMAN LCSW
NPI 1033407747
Social Worker - Clinical in Rialto, CA

Active since July 14, 2011PECOS Enrolled
850 EAST FOOTHILL BLVD, RIALTO, CA 92376(909) 421-4633 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 27, 2019, Mar 1, 2016 (2 updates tracked since 2016).

About Kelli Evelyn Ensman Lcsw NPPES

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

KELLI EVELYN ENSMAN LCSW (NPI 1033407747) is an individual clinical provider in Rialto, California, licensed in California (87562) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033407747
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLI EVELYN ENSMANCredential: LCSW
Location Address850 EAST FOOTHILL BLVDRialto, CA 92376
Mailing Address850 E Foothill BlvdRialto, CA 92376-5230 · (626) 484-1003
Phone(909) 421-4633
Sole ProprietorYes
Enumeration DateJuly 14, 2011
Last NPPES UpdateAugust 27, 20192 updates tracked since enumeration
✔ NPI 1033407747 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 CA · 87562
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.
850 EAST FOOTHILL BLVD, Rialto, CA 92376
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Evelyn Ensman Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kelli Ensman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of San Bernardino
Same address
Adult Mental Health
850 E FOOTHILL BLVD
Rialto, CA 92376
  • Reassigned Medicare billing, California enrollment
  • 233 clinicians in this Medicare group
NPI 1235348533 (909) 421-9479

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 92376 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 $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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 Kelli Ensman's NPI number?

The NPI number for Kelli Ensman is 1033407747. It was assigned to this individual provider in the NPPES registry on July 14, 2011.

Where is Kelli Ensman located?

Kelli Ensman practices at 850 East Foothill Blvd, Rialto, CA 92376. The listed phone number is (909) 421-4633.

What is Kelli Ensman's specialty?

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

Is Kelli Ensman enrolled in Medicare?

Yes. Kelli Ensman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelli Ensman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Ensman reassigns Medicare benefits to County Of San Bernardino (Rialto, CA). The 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 Kelli Ensman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelli Ensman was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.