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BRANDON CONOR KELLY LMSW
NPI 1467110767
Social Worker in New Haven, CT

Active since December 03, 2021PECOS EnrolledAccepts Medicare Assignment
358 EDGEWOOD AVE, NEW HAVEN, CT 06511(203) 435-6887 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2024, Dec 3, 2021 (2 updates tracked since 2021).

About Brandon Conor Kelly Lmsw NPPES

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

BRANDON CONOR KELLY LMSW (NPI 1467110767) is an individual social worker in New Haven, Connecticut, licensed in Connecticut (13714) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1467110767
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameBRANDON CONOR KELLYCredential: LMSW
Location Address358 EDGEWOOD AVENew Haven, CT 06511-4082
Mailing Address358 Edgewood AveNew Haven, CT 06511-4082 · (203) 435-6887
Phone(203) 435-6887
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 3, 2021
Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1467110767 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 CT · 13714
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.
358 EDGEWOOD AVE, New Haven, CT 06511
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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

Brandon Conor Kelly Lmsw 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 ID8729423074
PECOS Enrollment IDI20240227002149
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.

Medicare Billing Reassignment

Medicare enrollment records show Brandon Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornell Scott Hill Health Corporation
1.2 mi
Federally Qualified Health Center (FQHC)
400-428 COLUMBUS AVENUE
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 468 clinicians in this Medicare group
NPI 1902921380 (203) 503-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Brandon Kelly's NPI number?

The NPI number for Brandon Kelly is 1467110767. It was assigned to this individual provider in the NPPES registry on December 3, 2021.

Where is Brandon Kelly located?

Brandon Kelly practices at 358 Edgewood Ave, New Haven, CT 06511. The listed phone number is (203) 435-6887.

What is Brandon Kelly's specialty?

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

Is Brandon Kelly enrolled in Medicare?

Yes. Brandon 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 organization bills Medicare for Brandon Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Kelly reassigns Medicare benefits to Cornell Scott Hill Health Corporation (New Haven, CT). The 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 Brandon 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 Brandon Kelly was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.