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KELLY VAUGHAN LICSW
NPI 1316364094
Social Worker - Clinical in Seattle, WA

Active since March 19, 2014PECOS Enrolled
2017 NE 135TH PL, SEATTLE, WA 98125(630) 768-2520 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Vaughan Licsw NPPES

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

KELLY VAUGHAN LICSW (NPI 1316364094) is an individual clinical provider in Seattle, Washington, licensed in Washington (SWI.LW.61070860) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316364094
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY VAUGHANCredential: LICSW
Location Address2017 NE 135TH PLSeattle, WA 98125-3336
Mailing Address2017 Ne 135th PlSeattle, WA 98125-3336 · (630) 768-2520
Phone(630) 768-2520
Sole ProprietorYes
Enumeration DateMarch 19, 2014
Last NPPES UpdateMay 13, 2026
NPPES CertifiedMay 13, 2026
✔ NPI 1316364094 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 WA · SWI.LW.61070860
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.
2017 NE 135TH PL, Seattle, WA 98125
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Vaughan Licsw 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 98125 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 $63.67 – $189.37
Typical copayment $0.00 (range $15.91 – $47.34)
Most-billed visit code NA
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

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 Kelly Vaughan's NPI number?

The NPI number for Kelly Vaughan is 1316364094. It was assigned to this individual provider in the NPPES registry on March 19, 2014.

Where is Kelly Vaughan located?

Kelly Vaughan practices at 2017 NE 135th Pl, Seattle, WA 98125. The listed phone number is (630) 768-2520.

What is Kelly Vaughan's specialty?

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

Is Kelly Vaughan enrolled in Medicare?

Yes. Kelly Vaughan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Vaughan was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.