MRS. KATHERINE JELLISON LICSW
NPI 1215474788
Social Worker - Clinical in Methuen, MA
About Mrs. Katherine Jellison Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KATHERINE JELLISON LICSW (NPI 1215474788) is an individual clinical provider in Methuen, Massachusetts, licensed in Massachusetts (LICSW122137) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Katherine Jellison Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katherine Jellison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, MA 02421
- Reassigned Medicare billing, Massachusetts enrollment
- 167 clinicians in this Medicare group
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 01844 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
METHUEN, MA 01844
METHUEN, MA 01844
METHUEN, MA 01844
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 Katherine Jellison's NPI number?
The NPI number for Katherine Jellison is 1215474788. It was assigned to this individual provider in the NPPES registry on January 23, 2017.
Where is Katherine Jellison located?
Katherine Jellison practices at 184 Pleasant Valley St Ste 1-206, Methuen, MA 01844. The listed phone number is (978) 683-0133.
What is Katherine Jellison's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Katherine Jellison enrolled in Medicare?
Yes. Katherine Jellison is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katherine Jellison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Jellison reassigns Medicare benefits to Eliot Community Human Services (Lexington, MA). 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 Katherine Jellison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Jellison accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Katherine Jellison 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 Katherine Jellison was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mrs. Katherine Jellison, LICSW · NPI 1215474788
Clinical provider in Methuen, Massachusetts. Individual provider, active in the CMS NPPES registry since January 23, 2017.
## Identity
- **NPI:** 1215474788 (Entity type: Individual)
- **Enumerated:** January 23, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LICSW122137 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 184 PLEASANT VALLEY ST STE 1-206, Methuen, MA 01844-5855
- **Phone:** (978) 683-0133 · **Fax:** (978) 683-9818
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Eliot Community Human Services (NPI 1932271632, Lexington, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215474788) · Data from the CMS NPPES public registry.