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COLLEEN KELLY LCSW
NPI 1205440591
Social Worker - Clinical in Brooklyn, NY

Active since September 03, 2020PECOS EnrolledAccepts Medicare Assignment
7701 13TH AVE, BROOKLYN, NY 11228(182) 321-3517 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Colleen Kelly Lcsw NPPES

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

COLLEEN KELLY LCSW (NPI 1205440591) is an individual clinical provider in Brooklyn, New York, licensed in New York (097696) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2020).

NPPES Registry Identity

NPI1205440591
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCOLLEEN KELLYCredential: LCSW
Location Address7701 13TH AVEBrooklyn, NY 11228-2413
Mailing Address7701 13th AveBrooklyn, NY 11228-2413 · (182) 321-3517
Phone(182) 321-3517
Sole ProprietorNo
Medical School CMSFordham University School Of MedicineGraduated 2020
Enumeration DateSeptember 3, 2020
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1205440591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 097696
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 110092 (NY)
7701 13TH AVE, Brooklyn, NY 11228
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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 and accepts Medicare assignment

Colleen 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 ID2961944103
PECOS Enrollment IDI20240604001174
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 11228 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

EITAN LEVIN LMHC
Counselor (Mental Health)
7701 13TH AVE
BROOKLYN, NY 11228
Kings County (718) 891-1005
KIMBERLY ROSARIO LMHC
Counselor (Mental Health)
7701 13TH AVE
BROOKLYN, NY 11228
Kings County (718) 232-1351
MRS. KAY G GONG LCSW
Social Worker (Clinical)
7701 13TH AVE
BROOKLYN, NY 11228
Kings County (718) 331-8857
MICHELLE PYRKA LMHC
Counselor (Mental Health)
7701 13TH AVE
BROOKLYN, NY 11228
Kings County (646) 401-3715
MS. KATHERINE D RIORDAN LMSW
Social Worker
7701 13TH AVE
BROOKLYN, NY 11228
Kings County (718) 232-1351
MAURICE MASSE MD
Psychiatry & Neurology (Psychiatry)
7701 13TH AVE
BROOKLYN, NY 11228
Kings County (718) 232-1351
MARIYA KISHKINA LMHC
Counselor (Mental Health)
7701 13TH AVE
BROOKLYN, NY 11228
Kings County (718) 232-1351
MRS. MELINDA K. CINOLAURO LMSW
Social Worker
7701 13TH AVE
BROOKLYN, NY 11228
Kings County (718) 232-1351

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 Colleen Kelly's NPI number?

The NPI number for Colleen Kelly is 1205440591. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is Colleen Kelly located?

Colleen Kelly practices at 7701 13th Ave, Brooklyn, NY 11228. The listed phone number is (182) 321-3517.

What is Colleen Kelly's specialty?

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

Is Colleen Kelly enrolled in Medicare?

Yes. Colleen 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.

When was this NPI record last updated?

The NPPES record for Colleen Kelly was last updated on May 28, 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.