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CYNTHIA KELLY LICSW
NPI 1205288842
Social Worker - Clinical in Oak Hill, WV

Active since July 07, 2016PECOS EnrolledAccepts Medicare Assignment
497 MALL RD, OAK HILL, WV 25901(304) 469-2905(304) 465-1518 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 9, 2024, Aug 2, 2019 (2 updates tracked since 2019).

About Cynthia Kelly Licsw NPPES

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

CYNTHIA KELLY LICSW (NPI 1205288842) is an individual clinical provider in Oak Hill, West Virginia, licensed in West Virginia (DP00939218) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1205288842
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCYNTHIA KELLYCredential: LICSW
Location Address497 MALL RDOak Hill, WV 25901-6216
Mailing Address497 Mall RdOak Hill, WV 25901-6216 · (304) 469-2905 · Fax (304) 465-1518
Phone(304) 469-2905
Fax(304) 465-1518
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 7, 2016
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1205288842 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 WV · DP00939218
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.
497 MALL RD, Oak Hill, WV 25901
Open in Google Maps ↗

Other Identifiers 1

Medicaid1205288842WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia, Peak Health Insurance.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cynthia Kelly Licsw 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 ID7012203599
PECOS Enrollment IDI20241009001961
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.

Medicare Billing Reassignment

Medicare enrollment records show Cynthia Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New River Health Association, Inc.
Same address
Federally Qualified Health Center (FQHC)
497 MALL RD
Oak Hill, WV 25901
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1841619467 (West Virginia), NPI 1740417401 (West Virginia)
  • 34 clinicians in this Medicare group
NPI 1386318756 (304) 469-2905

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25901 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 $53.20 – $164.59
Typical copayment $0.00 (range $13.30 – $41.14)
Most-billed visit code NA
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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 20

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

NEW RIVER HEALTH ASSOCIATION, INC.
Pharmacy
497 MALL RD
OAK HILL, WV 25901
Fayette County (304) 469-2905
MRS. KRYSTAL SMITHERS PA-C
Physician Assistant (Medical)
497 MALL RD
OAK HILL, WV 25901
Fayette County (304) 469-2905
FRED L AKERBERG MD
Family Medicine
497 MALL RD
OAK HILL, WV 25901
Fayette County (304) 469-2905
JESSICA HARRAH
Peer Specialist
497 MALL RD
OAK HILL, WV 25901
Fayette County (304) 469-2905
ANGELA M BARKER PA-C
Physician Assistant
497 MALL RD
OAK HILL, WV 25901
Fayette County (304) 469-2905
MR. ANDREW JAMES CALDWELL MSW, LICSW
Social Worker (Clinical)
497 MALL RD
OAK HILL, WV 25901
Fayette County (304) 469-2905
NEW RIVER HEALTH ASSOCIATION, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
497 MALL RD
OAK HILL, WV 25901
Fayette County (304) 469-2905
DR. JODIE L POSEY-BUCKS M.D.
Obstetrics & Gynecology
497 MALL RD
OAK HILL, WV 25901
Fayette County (304) 469-2905

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 Cynthia Kelly's NPI number?

The NPI number for Cynthia Kelly is 1205288842. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Cynthia Kelly located?

Cynthia Kelly practices at 497 Mall Rd, Oak Hill, WV 25901. The listed phone number is (304) 469-2905.

What is Cynthia Kelly's specialty?

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

Is Cynthia Kelly enrolled in Medicare?

Yes. Cynthia 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.

Which organization bills Medicare for Cynthia Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Kelly reassigns Medicare benefits to New River Health Association, Inc. (Oak Hill, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cynthia Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Kelly accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia and Peak Health Insurance list Cynthia 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 Cynthia Kelly was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.