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KILEY P CEDOTAL LCSW-BACS, FACHE
NPI 1194537597
Social Worker - Clinical in Ponchatoula, LA

Active since January 22, 2025PECOS Enrolled
532 PONDEROSA DR, PONCHATOULA, LA 70454(225) 715-8768 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kiley P Cedotal Lcsw-bacs, Fache NPPES

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

KILEY P CEDOTAL LCSW-BACS, FACHE (NPI 1194537597) is an individual clinical provider in Ponchatoula, Louisiana, licensed in Louisiana (6181) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1194537597
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKILEY P CEDOTALCredential: LCSW-BACS, FACHE
Location Address532 PONDEROSA DRPonchatoula, LA 70454-9428
Mailing Address532 Ponderosa DrPonchatoula, LA 70454-9428 · (225) 715-8768
Phone(225) 715-8768
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1194537597 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 LA · 6181
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.
532 PONDEROSA DR, Ponchatoula, LA 70454
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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 (PECOS)

Kiley P Cedotal Lcsw-bacs, Fache is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466461793
PECOS Enrollment IDI20260416004164
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 70454 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 $53.43 – $164.73
Typical copayment $0.00 (range $13.35 – $41.18)
Most-billed visit code NA
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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 Kiley Cedotal's NPI number?

The NPI number for Kiley Cedotal is 1194537597. It was assigned to this individual provider in the NPPES registry on January 22, 2025.

Where is Kiley Cedotal located?

Kiley Cedotal practices at 532 Ponderosa Dr, Ponchatoula, LA 70454. The listed phone number is (225) 715-8768.

What is Kiley Cedotal's specialty?

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

Is Kiley Cedotal enrolled in Medicare?

Yes. Kiley Cedotal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kiley Cedotal was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.