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MS. TERESA KELLY LCSW-R
NPI 1053522102
Social Worker - Clinical in Locust Valley, NY

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment
48 13TH ST, LOCUST VALLEY, NY 11560(516) 676-0705 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2021, Nov 22, 2017 (2 updates tracked since 2017).

About Ms. Teresa Kelly Lcsw-r NPPES

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

MS. TERESA KELLY LCSW-R (NPI 1053522102) is an individual clinical provider in Locust Valley, New York, licensed in New York (R0558451) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Glen Cove, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1053522102
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. TERESA KELLYCredential: LCSW-R
Location Address48 13TH STLocust Valley, NY 11560-1526
Mailing Address48 13th StLocust Valley, NY 11560-1526 · (516) 676-0705
Phone(516) 676-0705
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateMay 24, 2007
Last NPPES UpdateFebruary 26, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
✔ NPI 1053522102 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 NY · R0558451
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.
48 13TH ST, Locust Valley, NY 11560
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Secondary Practice Location 1

Location 110 Cedar Swamp Rd Ste 4Glen Cove, NY 11542-3746 · Phone (516) 456-5401

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Ms. Teresa Kelly Lcsw-r 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 ID6305105545
PECOS Enrollment IDI20180117000546
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 11560 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 Teresa Kelly's NPI number?

The NPI number for Teresa Kelly is 1053522102. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Teresa Kelly located?

Teresa Kelly practices at 48 13th St, Locust Valley, NY 11560. The listed phone number is (516) 676-0705.

What is Teresa Kelly's specialty?

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

Is Teresa Kelly enrolled in Medicare?

Yes. Teresa 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 Teresa Kelly accept?

Health plans from Providence Health Plan list Teresa 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 Teresa Kelly was last updated on February 26, 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.