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MRS. KATHLEEN MARY KELLY LCSW
NPI 1114099082
Social Worker - Clinical in Long Beach, CA

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
5855 E NAPLES PLZ, STE 210, LONG BEACH, CA 90803(562) 987-3335(562) 930-1095 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2019, Jul 27, 2017 (2 updates tracked since 2017).

About Mrs. Kathleen Mary Kelly Lcsw NPPES

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

MRS. KATHLEEN MARY KELLY LCSW (NPI 1114099082) is an individual clinical provider in Long Beach, California, licensed in California (LCS13648) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1114099082
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KATHLEEN MARY KELLYCredential: LCSW
Location Address5855 E NAPLES PLZ, STE 210Long Beach, CA 90803-5080
Mailing Address5855 E Naples Plz, Ste 210Long Beach, CA 90803-5080 · (562) 987-3335 · Fax (562) 930-1095
Phone(562) 987-3335
Fax(562) 930-1095
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateNovember 15, 2006
Last NPPES UpdateAugust 28, 20192 updates tracked since enumeration
✔ NPI 1114099082 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 CA · LCS13648
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.
5855 E NAPLES PLZ, Long Beach, CA 90803
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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

Mrs. Kathleen Mary Kelly 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 ID4183880396
PECOS Enrollment IDI20120716000248
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 90803 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 18

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

NAN RUFFYN AGUIRRE PH.D.
Psychologist (Clinical)
5855 E NAPLES PLZ, STE 308
LONG BEACH, CA 90803
Los Angeles County (562) 277-1337
MS. VIVIAN BARBARA HARVEY M.A.
Counselor (Professional)
5855 E NAPLES PLZ, SUITE # 301
LONG BEACH, CA 90803
Los Angeles County (562) 856-4568
BAY SHORE WELLNESS LLC
Chiropractor
5855 E NAPLES PLZ, SUITE 113
LONG BEACH, CA 90803
Los Angeles County (562) 810-4916
STELTER MFCC, INC.
Social Worker (Clinical)
5855 E NAPLES PLZ, SUITE 302
LONG BEACH, CA 90803
Los Angeles County (562) 431-8822
DR. HEATHER STROHMEYER JENSEN PHD
Psychologist (Clinical)
5855 E NAPLES PLZ, SUITE 309
LONG BEACH, CA 90803
Los Angeles County (800) 204-5391
DR. VICTOR L. BYRD PSY.D.
Marriage & Family Therapist
5855 E NAPLES PLZ, ST. 116
LONG BEACH, CA 90803
Los Angeles County (562) 439-0934
DR. JONATHAN PAUL BRADY LMFT
Marriage & Family Therapist
5855 E NAPLES PLZ, SUITE 213
LONG BEACH, CA 90803
Los Angeles County (323) 456-3010
DR. MICHELE A FELIX PHD
Psychologist (Clinical)
5855 E NAPLES PLZ, SUITE 317
LONG BEACH, CA 90803
Los Angeles County (562) 434-7606

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 Kathleen Kelly's NPI number?

The NPI number for Kathleen Kelly is 1114099082. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Kathleen Kelly located?

Kathleen Kelly practices at 5855 E Naples Plz Ste 210, Long Beach, CA 90803. The listed phone number is (562) 987-3335.

What is Kathleen Kelly's specialty?

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

Is Kathleen Kelly enrolled in Medicare?

Yes. Kathleen 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.

When was this NPI record last updated?

The NPPES record for Kathleen Kelly was last updated on August 28, 2019. 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.