MRS. KELLEY ANNE SMITH LICSW
NPI 1093023517
Social Worker - Clinical in Westborough, MA

Active since September 17, 2010Opted out of Medicare · through Feb 3, 2027
290 TURNPIKE RD STE 5-138, WESTBOROUGH, MA 01581(508) 418-6608(508) 475-9396 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2020, Sep 11, 2018 (2 updates tracked since 2018).

About Mrs. Kelley Anne Smith Licsw NPPES

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

MRS. KELLEY ANNE SMITH LICSW (NPI 1093023517) is an individual clinical provider in Westborough, Massachusetts, licensed in Massachusetts (121289) and active in the NPI registry since September 2010. She has opted out of Medicare through February 3, 2027.

NPPES Registry Identity

NPI1093023517
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KELLEY ANNE SMITHCredential: LICSW
Location Address290 TURNPIKE RD STE 5-138Westborough, MA 01581-2843
Mailing Address290 Turnpike Rd Ste 5-138Westborough, MA 01581-2843 · (508) 418-6608 · Fax (508) 475-9396
Fax(508) 475-9396
Sole ProprietorNo
Enumeration DateSeptember 17, 2010
Last NPPES UpdateJuly 23, 20202 updates tracked since enumeration
NPPES CertifiedJuly 23, 2020
NPI 1093023517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MA · 121289 Licensed in CT · 8448
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.
290 TURNPIKE RD STE 5-138, Westborough, MA 01581

Other Names 1

Former Name (1)Kelley Anne Whittaker Ba, Cprp

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Kelley Anne Smith Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 3, 2023 through February 3, 2027.

Opt-Out Effective DateFebruary 3, 2023
Opt-Out In Effect ThroughFebruary 3, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
290 TURNPIKE RD STE 5-138
WESTBOROUGH, MA 01581

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 Kelley Smith's NPI number?

The NPI number for Kelley Smith is 1093023517. It was assigned to this individual provider in the NPPES registry on September 17, 2010. The provider is also known as Kelley Anne Whittaker Ba, Cprp.

Where is Kelley Smith located?

Kelley Smith practices at 290 Turnpike Rd Ste 5-138, Westborough, MA 01581. The listed phone number is (508) 418-6608.

What is Kelley Smith's specialty?

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

Is Kelley Smith enrolled in Medicare?

No. Kelley Smith has opted out of Medicare through February 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelley Smith accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Kelley Smith 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 Kelley Smith was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.