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MRS. SANDRA EMILY COUCH KELLY LCSW
NPI 1164573747
Social Worker - Clinical in Westbrook, ME

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
410 BRIDGE ST, CONGIN SCHOOL, WESTBROOK, ME 04092(207) 854-0844(207) 854-0846 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Sandra Emily Couch Kelly Lcsw NPPES

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

MRS. SANDRA EMILY COUCH KELLY LCSW (NPI 1164573747) is an individual clinical provider in Westbrook, Maine, licensed in Maine (LC6148) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1164573747
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SANDRA EMILY COUCH KELLYCredential: LCSW
Location Address410 BRIDGE ST, CONGIN SCHOOLWestbrook, ME 04092-3185
Mailing Address13 Northledge TerFalmouth, ME 04105-2819 · (207) 874-7994
Phone(207) 854-0844
Fax(207) 854-0846
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164573747 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 ME · LC6148
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.
410 BRIDGE ST, Westbrook, ME 04092
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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. Sandra Emily Couch 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 ID9830316967
PECOS Enrollment IDI20140813000482
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 04092 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 $56.28 – $169.96
Typical copayment $0.00 (range $14.07 – $42.49)
Most-billed visit code NA
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

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 Sandra Couch Kelly's NPI number?

The NPI number for Sandra Couch Kelly is 1164573747. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Sandra Couch Kelly located?

Sandra Couch Kelly practices at 410 Bridge St Congin School, Westbrook, ME 04092. The listed phone number is (207) 854-0844.

What is Sandra Couch Kelly's specialty?

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

Is Sandra Couch Kelly enrolled in Medicare?

Yes. Sandra Couch 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 Sandra Couch Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.