COLLEEN PATRICIA KELLY LMSW
NPI 1538764782
Social Worker in New York, NY

Active since December 03, 2020PECOS Enrolled
237 E 104TH ST, NEW YORK, NY 10029(212) 828-6000 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Colleen Patricia Kelly Lmsw NPPES

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

COLLEEN PATRICIA KELLY LMSW (NPI 1538764782) is an individual social worker in New York, New York, licensed in New York (110332-01) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538764782
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCOLLEEN PATRICIA KELLYCredential: LMSW
Location Address237 E 104TH STNew York, NY 10029-5404
Mailing Address843 Midland RdOradell, NJ 07649-1421 · (551) 795-6966
Sole ProprietorNo
Enumeration DateDecember 3, 2020
NPPES CertifiedDecember 3, 2020
NPI 1538764782 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 NY · 110332-01
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.
237 E 104TH ST, New York, NY 10029

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Colleen Patricia Kelly Lmsw 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.

Other Providers at the Same Location NPPES 2

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

Health Maintenance Organization
237 E 104TH ST
NEW YORK, NY 10029
Social Worker
237 E 104TH ST
NEW YORK, NY 10029

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 Colleen Kelly's NPI number?

The NPI number for Colleen Kelly is 1538764782. It was assigned to this individual provider in the NPPES registry on December 3, 2020.

Where is Colleen Kelly located?

Colleen Kelly practices at 237 E 104th St, New York, NY 10029. The listed phone number is (212) 828-6000.

What is Colleen Kelly's specialty?

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

Is Colleen Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Colleen Kelly was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.