KELLI RENEE DECKARD LCSW
NPI 1144922915
Social Worker - Clinical in Bloomington, IN

Active since March 17, 2023PECOS EnrolledAccepts Medicare Assignment
482 S LANDMARK AVE, BLOOMINGTON, IN 47403(812) 333-8474 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelli Renee Deckard Lcsw NPPES

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

KELLI RENEE DECKARD LCSW (NPI 1144922915) is an individual clinical provider in Bloomington, Indiana, licensed in Indiana (34010292A) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bloomington, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1144922915
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLI RENEE DECKARDCredential: LCSW
Location Address482 S LANDMARK AVEBloomington, IN 47403-5000
Mailing Address4240 N Ridgewood DrBloomington, IN 47404-9640 · (812) 361-3454
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
NPI 1144922915 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 IN · 34010292A
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.
482 S LANDMARK AVE, Bloomington, IN 47403

Secondary Practice Location 1

Location 1817 W 17th St Ste 2Bloomington, IN 47404-3333 · Phone (812) 361-3454

Accepted Insurance

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

Kelli Renee Deckard 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 ID8426414491
PECOS Enrollment IDI20230517000803
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 47403 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Counselor (Mental Health)
482 S LANDMARK AVE
BLOOMINGTON, IN 47403
Counselor (Mental Health)
482 S LANDMARK AVE
BLOOMINGTON, IN 47403
Counselor (Mental Health)
482 S LANDMARK AVE
BLOOMINGTON, IN 47403
Social Worker
482 S LANDMARK AVE
BLOOMINGTON, IN 47403
Counselor (Mental Health)
482 S LANDMARK AVE
BLOOMINGTON, IN 47403
Counselor (Mental Health)
482 S LANDMARK AVE
BLOOMINGTON, IN 47403
Counselor (Mental Health)
482 S LANDMARK AVE
BLOOMINGTON, IN 47403
Social Worker (Clinical)
482 S LANDMARK AVE
BLOOMINGTON, IN 47403

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 Kelli Deckard's NPI number?

The NPI number for Kelli Deckard is 1144922915. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Where is Kelli Deckard located?

Kelli Deckard practices at 482 S Landmark Ave, Bloomington, IN 47403. The listed phone number is (812) 333-8474.

What is Kelli Deckard's specialty?

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

Is Kelli Deckard enrolled in Medicare?

Yes. Kelli Deckard 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.

What insurance does Kelli Deckard accept?

Health plans from CareSource and UnitedHealthcare list Kelli Deckard 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 Kelli Deckard was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.