KELLIE JEAN DAWSON L.I.S.W-S
NPI 1053429605
Social Worker - Clinical in Delaware, OH

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
90.31/100
CMS Quality Rating
163 N SANDUSKY ST STE 104, DELAWARE, OH 43015(614) 946-7571(740) 879-2826 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Jean Dawson L.i.s.w-s NPPES

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

KELLIE JEAN DAWSON L.I.S.W-S (NPI 1053429605) is an individual clinical provider in Delaware, Ohio, licensed in Ohio (I. 0009062 SUPV) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Delaware, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1053429605
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLIE JEAN DAWSONCredential: L.I.S.W-S
Location Address163 N SANDUSKY ST STE 104Delaware, OH 43015-1778
Mailing Address163 N Sandusky St Ste 104Delaware, OH 43015-1778 · (614) 946-7571 · Fax (740) 879-2826
Fax(740) 879-2826
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 25, 2006
Last NPPES UpdateAugust 25, 2022
NPPES CertifiedAugust 25, 2022
NPI 1053429605 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 OH · I. 0009062 SUPV
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.
163 N SANDUSKY ST STE 104, Delaware, OH 43015

Secondary Practice Location 1

Location 11725 W Central AveDelaware, OH 43015-1699 · Phone (740) 363-8171

Accepted 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

Kellie Jean Dawson L.i.s.w-s 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 ID2769473974
PECOS Enrollment IDI20040518001074
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 43015 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.38
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
163 N SANDUSKY ST STE 104
DELAWARE, OH 43015
Counselor (Mental Health)
163 N SANDUSKY ST STE 104
DELAWARE, OH 43015

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 Kellie Dawson's NPI number?

The NPI number for Kellie Dawson is 1053429605. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Kellie Dawson located?

Kellie Dawson practices at 163 N Sandusky St Ste 104, Delaware, OH 43015. The listed phone number is (614) 946-7571.

What is Kellie Dawson's specialty?

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

Is Kellie Dawson enrolled in Medicare?

Yes. Kellie Dawson 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 Kellie Dawson accept?

Health plans from MedMutual, Molina Healthcare, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Kellie Dawson 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 Kellie Dawson was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.