SANDRA C KELLY LCSW-R
NPI 1275666406
Social Worker - Clinical in Huntington, NY

Q: What is Sandra Kelly's NPI number?

The NPI number for Sandra Kelly is 1275666406. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Q: What is Sandra Kelly'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 Sandra Kelly was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 14, 2007PECOS Enrolled

775 PARK AVE, SUITE 1110, HUNTINGTON, NY 11743(631) 549-7426 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sandra C Kelly Lcsw-r NPPES

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

SANDRA C KELLY LCSW-R (NPI 1275666406) is an individual clinical provider in Huntington, New York, licensed in New York (R040351-1) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275666406

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSANDRA C KELLYCredential: LCSW-R

Location Address775 PARK AVE, SUITE 1110Huntington, NY 11743-3976

Mailing Address775 Park Ave, Suite 1110Huntington, NY 11743-3976 · (631) 549-7426

Phone(631) 549-7426

Sole ProprietorYes

Enumeration DateMarch 14, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1275666406 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 NY · R040351-1

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.

775 PARK AVE, Huntington, NY 11743

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Other Identifiers 1

Medicare ID-Type UnspecifiedN70641NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra C Kelly Lcsw-r 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 11743 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 $67.40 – $203.53

Typical copayment $0.00 (range $16.85 – $50.88)

Most-billed visit code NA

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

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