MRS. KELLEY M KENNEDY LCSW
NPI 1265515548
Social Worker - Clinical in Westminster, CA

Q: What is Kelley Kennedy's NPI number?

The NPI number for Kelley Kennedy is 1265515548. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Q: What is Kelley Kennedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelley Kennedy was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 23, 2006PECOS Enrolled

5455 GARDEN GROVE BLVD STE 200, WESTMINSTER, CA 92683(562) 431-8822 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2025, Aug 15, 2024, Sep 6, 2023 and 1 more (4 updates tracked since 2022).

On this page

About Mrs. Kelley M Kennedy Lcsw NPPES

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

MRS. KELLEY M KENNEDY LCSW (NPI 1265515548) is an individual clinical provider in Westminster, California, licensed in California (21285) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265515548

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. KELLEY M KENNEDYCredential: LCSW

Location Address5455 GARDEN GROVE BLVD STE 200Westminster, CA 92683-8201

Mailing Address14140 Beach Blvd Ste 155Westminster, CA 92683-4453 · (714) 896-7502

Phone(562) 431-8822

Sole ProprietorYes

Enumeration DateOctober 23, 2006

Last NPPES UpdateJune 5, 20254 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1265515548 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 CA · 21285

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.

5455 GARDEN GROVE BLVD STE 200, Westminster, CA 92683

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Mrs. Kelley M Kennedy 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 92683 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 $62.96 – $187.60

Typical copayment $0.00 (range $15.74 – $46.90)

Most-billed visit code NA

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

Leave this field empty

Other Providers at the Same Location NPPES 13

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

MS. JODI KAYE BRUCE LMFT

Marriage & Family Therapist