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SAMUEL KELLOGG LCSW
NPI 1477028363
Social Worker - Clinical in North Chelmsford, MA

Active since October 08, 2018PECOS EnrolledAccepts Medicare Assignment
25 WELLMAN AVE, NORTH CHELMSFORD, MA 01863(978) 251-4050 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samuel Kellogg Lcsw NPPES

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

SAMUEL KELLOGG LCSW (NPI 1477028363) is an individual clinical provider in North Chelmsford, Massachusetts, licensed in New York (093682) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1477028363
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSAMUEL KELLOGGCredential: LCSW
Location Address25 WELLMAN AVENorth Chelmsford, MA 01863-1334
Mailing Address200 Swanton St Apt 320Winchester, MA 01890-4316
Phone(978) 251-4050
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 8, 2018
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1477028363 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 NY · 093682
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.
25 WELLMAN AVE, North Chelmsford, MA 01863
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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

Samuel Kellogg 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 ID1456718642
PECOS Enrollment IDI20230602000777
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 01863 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 $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

GDEBANEN CLARKE LMHC
Counselor (Mental Health)
25 WELLMAN AVE
NORTH CHELMSFORD, MA 01863
Middlesex County (978) 251-4050
MS. DIANE FRANCES PIASTA CNP
Nurse Practitioner (Pediatrics)
25 WELLMAN AVE
N CHELMSFORD, MA 01863
Middlesex County (978) 251-4050
PAULA TIRONE LICSW
Social Worker (Clinical)
25 WELLMAN AVE
N CHELMSFORD, MA 01863
Middlesex County (978) 251-4050

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 Samuel Kellogg's NPI number?

The NPI number for Samuel Kellogg is 1477028363. It was assigned to this individual provider in the NPPES registry on October 8, 2018.

Where is Samuel Kellogg located?

Samuel Kellogg practices at 25 Wellman Ave, North Chelmsford, MA 01863. The listed phone number is (978) 251-4050.

What is Samuel Kellogg's specialty?

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

Is Samuel Kellogg enrolled in Medicare?

Yes. Samuel Kellogg 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 Samuel Kellogg accept?

Health plans from Providence Health Plan list Samuel Kellogg 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 Samuel Kellogg was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.