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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY J AMBROSE MSW, LCSW
NPI 1215424056
Social Worker - Clinical in Murrayville, IL

Active since April 17, 2018PECOS Enrolled
391 LEETHAM RD, MURRAYVILLE, IL 62668(217) 719-9149 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2026, Apr 17, 2018 (2 updates tracked since 2018).

About Kelly J Ambrose Msw, Lcsw NPPES

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

KELLY J AMBROSE MSW, LCSW (NPI 1215424056) is an individual clinical provider in Murrayville, Illinois, licensed in Illinois (149.031069) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Quincy.

NPPES Registry Identity

NPI1215424056
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY J AMBROSECredential: MSW, LCSW
Location Address391 LEETHAM RDMurrayville, IL 62668-6070
Mailing Address391 Leetham RdMurrayville, IL 62668-6070 · (217) 719-9149
Phone(217) 719-9149
Sole ProprietorNo
Enumeration DateApril 17, 2018
Last NPPES UpdateSeptember 16, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1215424056 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 IL · 149.031069
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.
391 LEETHAM RD, Murrayville, IL 62668
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Secondary Practice Location 1

Location 1639 York StQuincy, IL 62301-3963 · Phone (217) 222-6277 · Fax (217) 224-1155

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly J Ambrose Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 62668 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 Kelly Ambrose's NPI number?

The NPI number for Kelly Ambrose is 1215424056. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Where is Kelly Ambrose located?

Kelly Ambrose practices at 391 Leetham Rd, Murrayville, IL 62668. The listed phone number is (217) 719-9149.

What is Kelly Ambrose's specialty?

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

Is Kelly Ambrose enrolled in Medicare?

Yes. Kelly Ambrose is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Ambrose accept?

Health plans from Oscar Health and UnitedHealthcare list Kelly Ambrose 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 Kelly Ambrose was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.