MS. KELLY LYNN STOLBERG LCSW
NPI 1497902209
Social Worker - Clinical in Princeton, NJ

Q: What is Kelly Stolberg's NPI number?

The NPI number for Kelly Stolberg is 1497902209. It was assigned to this individual provider in the NPPES registry on August 22, 2008.

Q: What is Kelly Stolberg's specialty?

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

Q: Is Kelly Stolberg enrolled in Medicare?

No. Kelly Stolberg has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kelly Stolberg was last updated on December 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 22, 2008Opted out of Medicare · through Feb 13, 2028

253 WITHERSPOON ST, EATING DISORDERS PROGRAM, PRINCETON, NJ 08540(609) 497-4000(609) 497-4412 Get Directions Write a Review

NPPES record last updated: December 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Kelly Lynn Stolberg Lcsw NPPES

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

MS. KELLY LYNN STOLBERG LCSW (NPI 1497902209) is an individual clinical provider in Princeton, New Jersey, licensed in New Jersey (44SC05445400) and active in the NPI registry since August 2008. She has opted out of Medicare through February 13, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1497902209

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. KELLY LYNN STOLBERGCredential: LCSW

Location Address253 WITHERSPOON ST, EATING DISORDERS PROGRAMPrinceton, NJ 08540-3211

Mailing Address253 Witherspoon St, Eating Disorders ProgramPrinceton, NJ 08540-3211 · (609) 497-4000 · Fax (609) 497-4412

Phone(609) 497-4000

Fax(609) 497-4412

Sole ProprietorNo

Enumeration DateAugust 22, 2008

Last NPPES UpdateDecember 10, 2010

✔ NPI 1497902209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NJ · 44SC05445400

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 44SL05505400 (NJ)

253 WITHERSPOON ST, Princeton, NJ 08540

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Kelly Lynn Stolberg Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 13, 2016 through February 13, 2028.

Opt-Out Effective DateFebruary 13, 2016

Opt-Out In Effect ThroughFebruary 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08540 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 $61.59 – $185.05

Typical copayment $0.00 (range $15.39 – $46.26)

Most-billed visit code NA

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

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 20

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

CHU KUANG CHEN MD

Specialist