CHRISTINA MARIE KELLEY DSW, LCSW, LISAC
NPI 1215369483
Social Worker - Clinical in Pinetop, AZ

Active since July 30, 2013PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 5, 2026, Jan 9, 2025, Aug 20, 2024 and 4 more (7 updates tracked since 2023).

About Christina Marie Kelley Dsw, Lcsw, Lisac NPPES

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

CHRISTINA MARIE KELLEY DSW, LCSW, LISAC (NPI 1215369483) is an individual clinical provider in Pinetop, Arizona, licensed in Arizona (21794) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215369483
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHRISTINA MARIE KELLEYCredential: DSW, LCSW, LISAC
Location AddressPO BOX 51Pinetop, AZ 85935-0051
Mailing AddressPo Box 51Pinetop, AZ 85935-0051 · (602) 456-1504
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 30, 2013
Last NPPES UpdateFebruary 5, 20267 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
NPI 1215369483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in AZ · 21794 Licensed in CA · 118526
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.

PO BOX 51, Pinetop, AZ 85935

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

Christina Marie Kelley Dsw, Lcsw, Lisac 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 ID9739528746
PECOS Enrollment IDI20240423002500
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 85935 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 $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Social Worker (Clinical)
PO BOX 51
PINETOP, AZ 85935

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215369483, enumerated as an "individual" on July 30, 2013.

The provider is located at PO BOX 51 PINETOP, AZ 85935 and the phone number is (602) 456-1504.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Oscar Health. Please consult your insurance carrier or call the provider to verify.