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MS. SUSAN J. KELLY LCSW
NPI 1356773097
Social Worker - Clinical in West Haven, CT

Active since August 05, 2013PECOS Enrolled
31 OWNLY AVE, WEST HAVEN, CT 06516(203) 640-2564 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Susan J. Kelly Lcsw NPPES

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

MS. SUSAN J. KELLY LCSW (NPI 1356773097) is an individual clinical provider in West Haven, Connecticut and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2015).

NPPES Registry Identity

NPI1356773097
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SUSAN J. KELLYCredential: LCSW
Location Address31 OWNLY AVEWest Haven, CT 06516-1245
Mailing Address93 Edwards StNew Haven, CT 06511-3933 · (203) 772-7270
Phone(203) 640-2564
Sole ProprietorNo
Medical School CMSFordham University School Of MedicineGraduated 2015
Enumeration DateAugust 5, 2013
Last NPPES UpdateSeptember 9, 2019
✔ NPI 1356773097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
31 OWNLY AVE, West Haven, CT 06516
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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)

Ms. Susan J. Kelly Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678966207
PECOS Enrollment IDI20220203000916
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
212 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06516 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 Susan Kelly's NPI number?

The NPI number for Susan Kelly is 1356773097. It was assigned to this individual provider in the NPPES registry on August 5, 2013.

Where is Susan Kelly located?

Susan Kelly practices at 31 Ownly Ave, West Haven, CT 06516. The listed phone number is (203) 640-2564.

What is Susan Kelly's specialty?

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

Is Susan Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Kelly was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.