AUDREY MICHELLE KELLY MSW, LCSW-C
NPI 1366781429
Social Worker - Clinical in Baltimore, MD
About Audrey Michelle Kelly Msw, Lcsw-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUDREY MICHELLE KELLY MSW, LCSW-C (NPI 1366781429) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (22444) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Audrey Michelle Kelly Msw, Lcsw-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Audrey Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21210
- Reassigned Medicare billing, Maryland enrollment
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 213 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21210
BALTIMORE, MD 21210
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 Audrey Kelly's NPI number?
The NPI number for Audrey Kelly is 1366781429. It was assigned to this individual provider in the NPPES registry on February 10, 2013.
Where is Audrey Kelly located?
Audrey Kelly practices at 600 Wyndhurst Ave Ste 307A, Baltimore, MD 21210. The listed phone number is (410) 216-4817.
What is Audrey Kelly's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Audrey Kelly enrolled in Medicare?
Yes. Audrey Kelly 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.
Which organizations bill Medicare for Audrey Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Kelly reassigns Medicare benefits to 2 organizations: Audrey Kelly Counseling LLC (Baltimore, MD) and Chase Brexton Health Services, Inc. (Baltimore, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Audrey Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Audrey Kelly was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Audrey Michelle Kelly, MSW, LCSW-C · NPI 1366781429
Clinical provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since February 10, 2013.
## Identity
- **NPI:** 1366781429 (Entity type: Individual)
- **Enumerated:** February 10, 2013
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 22444 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 WYNDHURST AVE STE 307A, Baltimore, MD 21210-2419
- **Phone:** (410) 216-4817
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Audrey Kelly Counseling LLC (NPI 1912764291, Baltimore, MD); Chase Brexton Health Services, Inc. (NPI 1588606305, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366781429) · Data from the CMS NPPES public registry.