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MRS. KERRY LYNN KETCHALE LCSW
NPI 1518270446
Social Worker - Clinical in Ellington, CT

Active since July 20, 2010PECOS Enrolled
420 SOMERS RD, ELLINGTON, CT 06029(860) 255-4475 Get Directions Write a Review

NPPES record last updated: June 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2024, Jun 1, 2023, Jun 24, 2021 and 1 more (4 updates tracked since 2018).

About Mrs. Kerry Lynn Ketchale Lcsw NPPES

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

MRS. KERRY LYNN KETCHALE LCSW (NPI 1518270446) is an individual clinical provider in Ellington, Connecticut, licensed in Connecticut (005794) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518270446
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KERRY LYNN KETCHALECredential: LCSW
Location Address420 SOMERS RDEllington, CT 06029-2629
Mailing Address420 Somers RdEllington, CT 06029-2629 · (860) 255-4475
Phone(860) 255-4475
Sole ProprietorNo
Enumeration DateJuly 20, 2010
Last NPPES UpdateJune 22, 20244 updates tracked since enumeration
NPPES CertifiedJune 22, 2024
✔ NPI 1518270446 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 CT · 005794
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.
420 SOMERS RD, Ellington, CT 06029
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Other Names 1

Former Name (1)Mrs. Kerry Lynn Tuttle

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 (PECOS)

Mrs. Kerry Lynn Ketchale Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 06029 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 4

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

MS. MERLE COHEN LCSW
Social Worker (Clinical)
420 SOMERS RD
ELLINGTON, CT 06029
Capitol Planning Region (860) 255-4475
MARY KAY KITTREDGE LCSW
Social Worker (Clinical)
420 SOMERS RD
ELLINGTON, CT 06029
Capitol Planning Region (860) 255-4475
JUST BREATHE CONNECTICUT LLC
Social Worker (Clinical)
420 SOMERS RD
ELLINGTON, CT 06029
Capitol Planning Region (860) 255-4475
KLAUDIA LOBESKA
Social Worker (Clinical)
420 SOMERS RD
ELLINGTON, CT 06029
Capitol Planning Region (860) 255-4475

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 Kerry Ketchale's NPI number?

The NPI number for Kerry Ketchale is 1518270446. It was assigned to this individual provider in the NPPES registry on July 20, 2010. The provider is also known as Mrs. Kerry Lynn Tuttle.

Where is Kerry Ketchale located?

Kerry Ketchale practices at 420 Somers Rd, Ellington, CT 06029. The listed phone number is (860) 255-4475.

What is Kerry Ketchale's specialty?

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

Is Kerry Ketchale enrolled in Medicare?

Yes. Kerry Ketchale is registered in the Medicare PECOS enrollment system.

What insurance does Kerry Ketchale accept?

Health plans from Providence Health Plan list Kerry Ketchale 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 Kerry Ketchale was last updated on June 22, 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.