MR. SAMUEL JAMES KELLY III LCSW-C
NPI 1174523377
Social Worker - Clinical in Towson, MD

Active since July 28, 2005PECOS Enrolled
8320 BELLONA AVE STE 240, TOWSON, MD 21204(410) 498-4625(410) 498-4665 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Samuel James Kelly Iii Lcsw-c NPPES

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

MR. SAMUEL JAMES KELLY III LCSW-C (NPI 1174523377) is an individual clinical provider in Towson, Maryland, licensed in Maryland (07874) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174523377
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SAMUEL JAMES KELLY IIICredential: LCSW-C
Location Address8320 BELLONA AVE STE 240Towson, MD 21204-2093
Mailing Address3316 Batavia AveBaltimore, MD 21214-2609 · (410) 371-6740
Fax(410) 498-4665
Sole ProprietorNo
Enumeration DateJuly 28, 2005
Last NPPES UpdateJanuary 9, 2026
NPPES CertifiedJanuary 9, 2026
NPI 1174523377 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 MD · 07874
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.
8320 BELLONA AVE STE 240, Towson, MD 21204

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Samuel James Kelly Iii Lcsw-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 21204 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 $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 Samuel Kelly's NPI number?

The NPI number for Samuel Kelly is 1174523377. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Samuel Kelly located?

Samuel Kelly practices at 8320 Bellona Ave Ste 240, Towson, MD 21204. The listed phone number is (410) 498-4625.

What is Samuel Kelly's specialty?

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

Is Samuel Kelly enrolled in Medicare?

Yes. Samuel Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Kelly was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.