KELSEA SURACE
NPI 1154823896
Social Worker - Clinical in Bellport, NY

Q: What is Kelsea Surace's NPI number?

The NPI number for Kelsea Surace is 1154823896. It was assigned to this individual provider in the NPPES registry on March 7, 2018.

Q: What is Kelsea Surace'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 Kelsea Surace was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 07, 2018PECOS EnrolledAccepts Medicare Assignment

11 FARBER DR STE D, BELLPORT, NY 11713(631) 286-0700 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2026, Feb 9, 2024, Mar 7, 2018 (3 updates tracked since 2018).

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About Kelsea Surace NPPES

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

KELSEA SURACE (NPI 1154823896) is an individual clinical provider in Bellport, New York, licensed in New York (094598) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154823896

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELSEA SURACE

Location Address11 FARBER DR STE DBellport, NY 11713-1500

Mailing Address51 Maple AveNorthport, NY 11768-1937

Phone(631) 286-0700

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 7, 2018

Last NPPES UpdateApril 9, 20263 updates tracked since enumeration

NPPES CertifiedApril 9, 2026

✔ NPI 1154823896 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 NY · 094598

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.

11 FARBER DR STE D, Bellport, NY 11713

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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

Kelsea Surace 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 ID9234654666

PECOS Enrollment IDI20250418000345

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 11713 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 $67.40 – $203.53

Typical copayment $0.00 (range $16.85 – $50.88)

Most-billed visit code NA

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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 7

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

ALYSSA VASTANO

Counselor (Addiction (Substance Use Disorder))