Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLSIE ANN MICHAEL LCSW
NPI 1306065032
Social Worker - Clinical in Lemon Grove, CA

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment
7150 BROADWAY, LEMON GROVE, CA 91945(619) 906-4630 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Dec 18, 2017 (2 updates tracked since 2017).

About Kellsie Ann Michael Lcsw NPPES

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

KELLSIE ANN MICHAEL LCSW (NPI 1306065032) is an individual clinical provider in Lemon Grove, California, licensed in California (24208) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1306065032
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLSIE ANN MICHAELCredential: LCSW
Location Address7150 BROADWAYLemon Grove, CA 91945-1401
Mailing Address5005 Texas St, Suite 203San Diego, CA 92108-3721 · (619) 692-0727
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
NPI 1306065032 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 · 24208
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.
7150 BROADWAY, Lemon Grove, CA 91945

Secondary Practice Location 1

Location 15005 Texas St Ste 203San Diego, CA 92108-3723 · Phone (619) 692-0727

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kellsie Ann Michael 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 ID7416299789
PECOS Enrollment IDI20190507002063
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 91945 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 $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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

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

Counselor (Addiction (Substance Use Disorder))
7150 BROADWAY
LEMON GROVE, CA 91945

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 Kellsie Michael's NPI number?

The NPI number for Kellsie Michael is 1306065032. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Kellsie Michael located?

Kellsie Michael practices at 7150 Broadway, Lemon Grove, CA 91945. The listed phone number is (619) 906-4630.

What is Kellsie Michael's specialty?

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

Is Kellsie Michael enrolled in Medicare?

Yes. Kellsie Michael 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.

When was this NPI record last updated?

The NPPES record for Kellsie Michael was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.