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KELLY MARISKA LCSW
NPI 1053991190
Social Worker - Clinical in Pittsburgh, PA

Active since April 13, 2021PECOS EnrolledAccepts Medicare Assignment
628 SUMMERLEA ST APT 3, PITTSBURGH, PA 15232(612) 616-2142 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2024, Apr 13, 2021 (2 updates tracked since 2021).

About Kelly Mariska Lcsw NPPES

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

KELLY MARISKA LCSW (NPI 1053991190) is an individual clinical provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (CW025094) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053991190
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY MARISKACredential: LCSW
Location Address628 SUMMERLEA ST APT 3Pittsburgh, PA 15232-2078
Mailing Address628 Summerlea St Apt 3Pittsburgh, PA 15232-2078 · (612) 616-2142
Phone(612) 616-2142
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 13, 2021
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1053991190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW025094
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.
Also ListedSocial WorkerTaxonomy 104100000X · License SW136241 (PA)
628 SUMMERLEA ST APT 3, Pittsburgh, PA 15232
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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 and accepts Medicare assignment

Kelly Mariska 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 ID8921539701
PECOS Enrollment IDI20241003002520
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 Kelly Mariska reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Persoma P.C.
7.8 mi
Mental Health
300 OXFORD DR STE 110
Monroeville, PA 15146
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 37 clinicians in this Medicare group
NPI 1790712156 (412) 823-5155

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 15232 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 $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 Kelly Mariska's NPI number?

The NPI number for Kelly Mariska is 1053991190. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Kelly Mariska located?

Kelly Mariska practices at 628 Summerlea St Apt 3, Pittsburgh, PA 15232. The listed phone number is (612) 616-2142.

What is Kelly Mariska's specialty?

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

Is Kelly Mariska enrolled in Medicare?

Yes. Kelly Mariska 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 organization bills Medicare for Kelly Mariska's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mariska reassigns Medicare benefits to Persoma P.C. (Monroeville, PA). 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 Kelly Mariska'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 Kelly Mariska was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.