KIMBERLY KELLEY LCSW
NPI 1326447897
Social Worker - Clinical in San Diego, CA

Q: What is Kimberly Kelley's NPI number?

The NPI number for Kimberly Kelley is 1326447897. It was assigned to this individual provider in the NPPES registry on August 20, 2014. The provider is also known as Kimberly Mahon.

Q: What is Kimberly Kelley'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 Kimberly Kelley was last updated on October 7, 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.

Active since August 20, 2014PECOS Enrolled

823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102(619) 515-2300 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2021, Oct 12, 2020, Mar 17, 2018 (3 updates tracked since 2018).

On this page

About Kimberly Kelley Lcsw NPPES

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

KIMBERLY KELLEY LCSW (NPI 1326447897) is an individual clinical provider in San Diego, California, licensed in California (97888) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wheat Ridge.

NPPES Registry Identity

NPI1326447897

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKIMBERLY KELLEYCredential: LCSW

Location Address823 GATEWAY CENTER WAYSan Diego, CA 92102-4541

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300

Phone(619) 515-2300

Sole ProprietorYes

Enumeration DateAugust 20, 2014

Last NPPES UpdateOctober 7, 20213 updates tracked since enumeration

NPPES CertifiedOctober 7, 2021

✔ NPI 1326447897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CA · 97888✔ Licensed in CO · CSW.09923587

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.

823 GATEWAY CENTER WAY, San Diego, CA 92102

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Other Names 1

Former Name (1)Kimberly Mahon

Secondary Practice Location 1

Location 14851 Independence St, Suite 200Wheat Ridge, CO 80033-6715 · Phone (303) 425-0300 · Fax (303) 432-5071

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Kelley 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92102 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 20

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

SUSAN KERMOIAN YASZAY NP

Nurse Practitioner (Family)