MRS. MICHELLE R KELLY LCSW
NPI 1184489924
Social Worker - Clinical in South Jordan, UT

Active since February 20, 2024PECOS EnrolledAccepts Medicare Assignment
10459 S TEMPLE DR STE 102, SOUTH JORDAN, UT 84095(801) 432-0778 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Michelle R Kelly Lcsw NPPES

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

MRS. MICHELLE R KELLY LCSW (NPI 1184489924) is an individual clinical provider in South Jordan, Utah, licensed in Utah (7061940-3501) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1184489924
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MICHELLE R KELLYCredential: LCSW
Location Address10459 S TEMPLE DR STE 102South Jordan, UT 84095-8930
Mailing Address10459 S Temple Dr Ste 102South Jordan, UT 84095-8930 · (801) 432-0778
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
NPI 1184489924 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 UT · 7061940-3501
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.

10459 S TEMPLE DR STE 102, South Jordan, UT 84095

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

Mrs. Michelle R 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 ID143669614
PECOS Enrollment IDI20240416004083, I20240520001490, I20241031000430, I20251122001039
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
95 services17 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84095 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 $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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

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

Counselor
10459 S TEMPLE DR STE 102
SOUTH JORDAN, UT 84095

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 Michelle Kelly's NPI number?

The NPI number for Michelle Kelly is 1184489924. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Where is Michelle Kelly located?

Michelle Kelly practices at 10459 S Temple Dr Ste 102, South Jordan, UT 84095. The listed phone number is (801) 432-0778.

What is Michelle Kelly's specialty?

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

Is Michelle Kelly enrolled in Medicare?

Yes. Michelle 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.

What insurance does Michelle Kelly accept?

Health plans from Select Health list Michelle Kelly 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 Michelle Kelly was last updated on February 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.