KIMBERLY D KELLY LCSW, DSW
NPI 1336857028
Social Worker in Ponca City, OK

Q: What is Kimberly Kelly's NPI number?

The NPI number for Kimberly Kelly is 1336857028. It was assigned to this individual provider in the NPPES registry on November 10, 2022.

Q: What is Kimberly Kelly's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Kelly was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 10, 2022PECOS EnrolledAccepts Medicare Assignment

407 W SOUTH AVE, PONCA CITY, OK 74601(580) 749-5056 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly D Kelly Lcsw, Dsw NPPES

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

KIMBERLY D KELLY LCSW, DSW (NPI 1336857028) is an individual social worker in Ponca City, Oklahoma, licensed in Oklahoma (8566) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1336857028

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKIMBERLY D KELLYCredential: LCSW, DSW

Location Address407 W SOUTH AVEPonca City, OK 74601-6133

Mailing Address407 W South AvePonca City, OK 74601-6133 · (580) 749-5056

Phone(580) 749-5056

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 10, 2022

NPPES CertifiedNovember 10, 2022

✔ NPI 1336857028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in OK · 8566

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

407 W SOUTH AVE, Ponca City, OK 74601

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Accepted Insurance

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

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

Kimberly D Kelly Lcsw, Dsw 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 ID3375914963

PECOS Enrollment IDI20230118001103

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.

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.

HEATHER DANIEL

Case Manager/Care Coordinator