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KATELYN R KENNEDY LCSW
NPI 1295284057
Social Worker - Clinical in Philadelphia, PA

Active since September 22, 2016PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3535 MARKET STREET, MEZZANINE LEVEL, PHILADELPHIA, PA 19104(215) 764-4100(215) 746-4116 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2021, Sep 22, 2016 (2 updates tracked since 2016).

About Katelyn R Kennedy Lcsw NPPES

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

KATELYN R KENNEDY LCSW (NPI 1295284057) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW021708) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1295284057
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATELYN R KENNEDYCredential: LCSW
Location Address3535 MARKET STREET, MEZZANINE LEVELPhiladelphia, PA 19104-3317
Mailing Address3535 Market Street, Mezzanine LevelPhiladelphia, PA 19104-3317 · (215) 764-4100 · Fax (215) 746-4116
Phone(215) 764-4100
Fax(215) 746-4116
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 22, 2016
Last NPPES UpdateNovember 17, 20212 updates tracked since enumeration
NPPES CertifiedNovember 3, 2021
✔ NPI 1295284057 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 PA · CW021708
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.
3535 MARKET STREET, Philadelphia, PA 19104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katelyn R Kennedy Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769888205
PECOS Enrollment IDI20210908001787
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 Katelyn Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Penn-Medical Group
Same address
Psychiatry
3535 MARKET ST, 3RD FLOOR
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1821486846 (215) 746-6700

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 19104 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 $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM
Clinic/Center (Primary Care)
3535 MARKET STREET, MEZZANINE LEVEL
PHILADELPHIA, PA 19104
Philadelphia County (214) 746-4110
DR. KRISTIN L LEIGHT MD
Psychiatry & Neurology (Psychiatry)
3535 MARKET STREET, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7119
DR. CARMEN MCLEAN PHD
Psychologist
3535 MARKET STREET, 7TH FLOOR, SUITE 741
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2816
JOEL E STREIM MD
Psychiatry & Neurology (Geriatric Psychiatry)
3535 MARKET STREET, 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6700
KEVIN SCOTT MCCARTHY PHD
Psychologist (Clinical)
3535 MARKET STREET, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6700
MARIO A CRISTANCHO PIMIENTO MD
Psychiatry & Neurology (Psychiatry)
3535 MARKET STREET, 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-6700
RAYMOND CARVAJAL PSYD
Psychologist
3535 MARKET STREET, 3RD FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 746-7183
PATRICK L FARRELL
Counselor (Mental Health)
3535 MARKET STREET
PHILADELPHIA, PA 19104
Philadelphia County (800) 789-7366

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 Katelyn Kennedy's NPI number?

The NPI number for Katelyn Kennedy is 1295284057. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Where is Katelyn Kennedy located?

Katelyn Kennedy practices at 3535 Market Street Mezzanine Level, Philadelphia, PA 19104. The listed phone number is (215) 764-4100.

What is Katelyn Kennedy's specialty?

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

Is Katelyn Kennedy enrolled in Medicare?

Yes. Katelyn Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Katelyn Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Kennedy reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). 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 Katelyn 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 Katelyn Kennedy was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.