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KELLY WATT LICSW
NPI 1467197939
Social Worker - Clinical in Poulsbo, WA

Active since April 29, 2022PECOS Enrolled
1611 ENGLAND LN NW, POULSBO, WA 98370(206) 659-6527 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 11, 2024, Apr 29, 2022 (2 updates tracked since 2022).

About Kelly Watt Licsw NPPES

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

KELLY WATT LICSW (NPI 1467197939) is an individual clinical provider in Poulsbo, Washington, licensed in Washington (LW61516067) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1467197939
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY WATTCredential: LICSW
Location Address1611 ENGLAND LN NWPoulsbo, WA 98370-9456
Mailing Address4526 Federal AveEverett, WA 98203-2132 · (425) 349-6200
Phone(206) 659-6527
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 29, 2022
Last NPPES UpdateJune 11, 20262 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1467197939 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 WA · LW61516067
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.
1611 ENGLAND LN NW, Poulsbo, WA 98370
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Watt Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648730143
PECOS Enrollment IDI20260903003202
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 Kelly Watt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Franciscan Medical Group
7.6 mi
Internal Medicine
2200 NW MYHRE RD
Silverdale, WA 98383
  • Reassigned Medicare billing, Washington enrollment
  • 1,526 clinicians in this Medicare group
NPI 1710432612 (360) 830-1600

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 98370 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 Kelly Watt's NPI number?

The NPI number for Kelly Watt is 1467197939. It was assigned to this individual provider in the NPPES registry on April 29, 2022.

Where is Kelly Watt located?

Kelly Watt practices at 1611 England Ln NW, Poulsbo, WA 98370. The listed phone number is (206) 659-6527.

What is Kelly Watt's specialty?

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

Is Kelly Watt enrolled in Medicare?

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

Which organization bills Medicare for Kelly Watt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Watt reassigns Medicare benefits to Franciscan Medical Group (Silverdale, WA). 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 Kelly Watt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Watt accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Kelly Watt 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 Kelly Watt was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.