ANNE MARIE KELLY LICSW
NPI 1134588403
Social Worker - Clinical in Windsor, VT
About Anne Marie Kelly Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNE MARIE KELLY LICSW (NPI 1134588403) is an individual clinical provider in Windsor, Vermont, licensed in Vermont (089.0109571) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anne Marie Kelly Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Anne Marie Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Windsor, VT 05089
- Reassigned Medicare billing, Vermont enrollment
- 6 clinicians in this Medicare group
Las Cruces, NM 88011
- Reassigned Medicare billing, New Hampshire and Vermont enrollments
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Anne Marie Kelly's NPI number?
The NPI number for Anne Marie Kelly is 1134588403. It was assigned to this individual provider in the NPPES registry on February 16, 2016.
Where is Anne Marie Kelly located?
Anne Marie Kelly practices at 82 State St, Windsor, VT 05089. The listed phone number is (860) 301-3711.
What is Anne Marie Kelly's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Anne Marie Kelly enrolled in Medicare?
Yes. Anne Marie Kelly is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Anne Marie Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anne Marie Kelly reassigns Medicare benefits to 2 organizations: Connecticut Valley Addiction Recovery, Inc (Windsor, VT) and Deer Oaks Mental Health Associates PC (Las Cruces, NM). Each 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 Anne Marie Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anne Marie Kelly accept?
Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Anne Marie 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 Anne Marie Kelly was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Anne Marie Kelly, LICSW · NPI 1134588403
Clinical provider in Windsor, Vermont. Individual provider, active in the CMS NPPES registry since February 16, 2016.
## Identity
- **NPI:** 1134588403 (Entity type: Individual)
- **Enumerated:** February 16, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 089.0109571 (Vermont)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 82 STATE ST, Windsor, VT 05089-1276
- **Phone:** (860) 301-3711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Connecticut Valley Addiction Recovery, Inc (NPI 1750932646, Windsor, VT); Deer Oaks Mental Health Associates PC (NPI 1134175763, Las Cruces, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 16, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1134588403) · Data from the CMS NPPES public registry.