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AUDREY MICHELLE KELLY MSW, LCSW-C
NPI 1366781429
Social Worker - Clinical in Baltimore, MD

Active since February 10, 2013PECOS EnrolledAccepts Medicare Assignment
600 WYNDHURST AVE STE 307A, BALTIMORE, MD 21210(410) 216-4817 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 13, 2025, Mar 4, 2022 (2 updates tracked since 2022).

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

NPI1366781429
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAUDREY MICHELLE KELLYCredential: MSW, LCSW-C
Location Address600 WYNDHURST AVE STE 307ABaltimore, MD 21210-2419
Mailing Address600 Wyndhurst Ave Ste 307aBaltimore, MD 21210-2419 · (410) 216-4817
Phone(410) 216-4817
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 10, 2013
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1366781429 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 MD · 22444
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.
600 WYNDHURST AVE STE 307A, Baltimore, MD 21210
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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 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.

PECOS PAC ID7315310992
PECOS Enrollment IDI20230301001841
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 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.

New Patient
$0.00 typical visit price
range $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 3

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

CATHERINE SULLIVAN-WINDT PH.D., LLC
Psychologist (Counseling)
600 WYNDHURST AVE STE 307A
BALTIMORE, MD 21210
Baltimore City (410) 801-9700
DR. CATHERINE MARY SULLIVAN-WINDT PH.D.
Psychologist (Counseling)
600 WYNDHURST AVE STE 307A
BALTIMORE, MD 21210
Baltimore City (443) 257-1812
AUDREY KELLY COUNSELING LLC
Counselor (Mental Health)
600 WYNDHURST AVE STE 307A
BALTIMORE, MD 21210
Baltimore City (410) 216-4817

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.

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 18 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.