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

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: October 25, 2026.

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

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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelley Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Coast Psychiatric Associates Inc
352 mi
Clinical
7373 N SCOTTSDALE RD STE A199
Scottsdale, AZ 85253
  • Reassigned Medicare billing, California enrollment
  • 766 clinicians in this Medicare group
NPI 1023125465 (702) 805-5360

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 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.

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
5455 GARDEN GROVE BLVD STE 200
WESTMINSTER, CA 92683
Orange County (562) 431-8822
DR. POOJA KHOSLA SHARMA LMFT
Marriage & Family Therapist
5455 GARDEN GROVE BLVD STE 200
WESTMINSTER, CA 92683
Orange County (562) 431-8822
MS. PATTI LYN DILLINER MA, LMFT
Marriage & Family Therapist
5455 GARDEN GROVE BLVD STE 200
WESTMINSTER, CA 92683
Orange County (562) 431-8822
JENNIFER DOLORES JOHNSON LMFT
Marriage & Family Therapist
5455 GARDEN GROVE BLVD STE 200
WESTMINSTER, CA 92683
Orange County (562) 431-8822
MS. JACLYN JARRARD M.A.
Marriage & Family Therapist
5455 GARDEN GROVE BLVD STE 200
WESTMINSTER, CA 92683
Orange County (562) 431-8822
LIGAYA MACAYAON RESURRECCION FNP-BC, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5455 GARDEN GROVE BLVD STE 200
WESTMINSTER, CA 92683
Orange County (562) 431-8822
JEANNINE RENEE MEYER LCSW
Social Worker (Clinical)
5455 GARDEN GROVE BLVD STE 200
WESTMINSTER, CA 92683
Orange County (562) 431-8822
MR. GILBERTO ESTEBAN GARCIA-TORRES LCSW
Social Worker (Clinical)
5455 GARDEN GROVE BLVD STE 200
WESTMINSTER, CA 92683
Orange County (562) 431-8822

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 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.

Where is Kelley Kennedy located?

Kelley Kennedy practices at 5455 Garden Grove Blvd Ste 200, Westminster, CA 92683. The listed phone number is (562) 431-8822.

What is Kelley Kennedy's specialty?

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

Is Kelley Kennedy enrolled in Medicare?

Yes. Kelley Kennedy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelley Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Kennedy reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). 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 Kelley Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 16 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.