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