1. Home
  2. Directory
  3. New York
  4. Orchard Park
  5. Social Worker
  6. NPI Profile

JACALYN P KELLY LCSW
NPI 1447322995
Social Worker in Orchard Park, NY

Active since November 13, 2006PECOS Enrolled
3065 SOUTHWESTERN BOULEVARD, SUITE 204, ORCHARD PARK, NY 14127(716) 675-9232(716) 675-9217 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacalyn P Kelly Lcsw NPPES

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

JACALYN P KELLY LCSW (NPI 1447322995) is an individual social worker in Orchard Park, New York, licensed in New York (0543871) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1447322995
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJACALYN P KELLYCredential: LCSW
Location Address3065 SOUTHWESTERN BOULEVARD, SUITE 204Orchard Park, NY 14127
Mailing Address315 Alberta Drive, Suite 211Amherst, NY 14226 · (716) 837-6705 · Fax (716) 837-6759
Phone(716) 675-9232
Fax(716) 675-9217
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447322995 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 NY · 0543871
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.

3065 SOUTHWESTERN BOULEVARD, Orchard Park, NY 14127
Open in Google Maps ↗

Other Identifiers 3

Other6212551Independent Health
Other00026422101Univera
Other000540315001Blue Cross

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacalyn P Kelly Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729362942
PECOS Enrollment IDI20170307000224
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

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

DR. RUSSELL N SHEFRIN PHD
Psychologist
3065 SOUTHWESTERN BOULEVARD, SUITE 204
ORCHARD PARK, NY 14127
Erie County (716) 675-9232

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 Jacalyn Kelly's NPI number?

The NPI number for Jacalyn Kelly is 1447322995. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Jacalyn Kelly located?

Jacalyn Kelly practices at 3065 Southwestern Boulevard Suite 204, Orchard Park, NY 14127. The listed phone number is (716) 675-9232.

What is Jacalyn Kelly's specialty?

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

Is Jacalyn Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacalyn Kelly was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.