KELLY RENEE JONES CARLL LCSW
NPI 1104297928
Social Worker - Clinical in San Diego, CA

Q: What is Kelly Carll's NPI number?

The NPI number for Kelly Carll is 1104297928. It was assigned to this individual provider in the NPPES registry on October 20, 2015.

Q: What is Kelly Carll's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Carll was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since October 20, 2015PECOS Enrolled

8989 RIO SAN DIEGO DR STE 200, SAN DIEGO, CA 92108(858) 279-1223 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kelly Renee Jones Carll Lcsw NPPES

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

KELLY RENEE JONES CARLL LCSW (NPI 1104297928) is an individual clinical provider in San Diego, California, licensed in California (127798) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1104297928

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELLY RENEE JONES CARLLCredential: LCSW

Location Address8989 RIO SAN DIEGO DR STE 200San Diego, CA 92108-1647

Mailing Address8989 Rio San Diego Dr Ste 200San Diego, CA 92108-1647

Phone(858) 279-1223

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 20, 2015

Last NPPES UpdateDecember 23, 2024

NPPES CertifiedDecember 23, 2024

✔ NPI 1104297928 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 CA · 127798✔ Licensed in HI · 4020

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.

8989 RIO SAN DIEGO DR STE 200, San Diego, CA 92108

Open in Google Maps ↗

Secondary Practice Location 1

Location 13350 La Jolla Village Dr # 122San Diego, CA 92161-0002 · Phone (619) 497-8929

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Renee Jones Carll Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476080581

PECOS Enrollment IDI20241231000357

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 92108 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 $62.10 – $184.71

Typical copayment $0.00 (range $15.52 – $46.17)

Most-billed visit code NA

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

Other Providers at the Same Location NPPES 20

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

DARREN ANDRE LUCAS M.D.

Psychiatry & Neurology (Psychiatry)