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MR. MASON LOUIS KELLY LCSW
NPI 1396801064
Social Worker - Clinical in Chicago, IL

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
8553 S STONY ISLAND AVE, FL 1, CHICAGO, IL 60617(773) 972-3577(872) 666-5512 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mason Louis Kelly Lcsw NPPES

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

MR. MASON LOUIS KELLY LCSW (NPI 1396801064) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149011810) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1396801064
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MASON LOUIS KELLYCredential: LCSW
Location Address8553 S STONY ISLAND AVE, FL 1Chicago, IL 60617-2249
Mailing Address8553 S Stony Island Ave, Fl 1Chicago, IL 60617-2249 · (773) 972-3577 · Fax (872) 666-5512
Phone(773) 972-3577
Fax(872) 666-5512
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 28, 2006
Last NPPES UpdateDecember 1, 2016
✔ NPI 1396801064 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 IL · 149011810
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.
8553 S STONY ISLAND AVE, Chicago, IL 60617
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Mr. Mason Louis Kelly Lcsw 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 ID9638325814
PECOS Enrollment IDI20120802000661
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 60617 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 Mason Kelly's NPI number?

The NPI number for Mason Kelly is 1396801064. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Mason Kelly located?

Mason Kelly practices at 8553 S Stony Island Ave Fl 1, Chicago, IL 60617. The listed phone number is (773) 972-3577.

What is Mason Kelly's specialty?

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

Is Mason Kelly enrolled in Medicare?

Yes. Mason 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.

What insurance does Mason Kelly accept?

Health plans from Providence Health Plan list Mason Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mason Kelly was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.