KELLY M LEACH LCSW
NPI 1548835796
Social Worker - Clinical in Bloomington, IN

Q: What is Kelly Leach's NPI number?

The NPI number for Kelly Leach is 1548835796. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Q: What is Kelly Leach's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Leach was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 20, 2021PECOS EnrolledAccepts Medicare Assignment

645 S ROGERS ST, BLOOMINGTON, IN 47403(812) 339-1691 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly M Leach Lcsw NPPES

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

KELLY M LEACH LCSW (NPI 1548835796) is an individual clinical provider in Bloomington, Indiana, licensed in Indiana (34010708A) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1548835796

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELLY M LEACHCredential: LCSW

Location Address645 S ROGERS STBloomington, IN 47403-2353

Mailing Address645 S Rogers StBloomington, IN 47403-2353

Phone(812) 339-1691

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMay 20, 2021

Last NPPES UpdateJuly 21, 2025

NPPES CertifiedJuly 21, 2025

✔ NPI 1548835796 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 IN · 34010708A

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 33008773A (IN)

645 S ROGERS ST, Bloomington, IN 47403

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Secondary Practice Locations 2

Location 15010 N Stone Mill Rd Ste BBloomington, IN 47408-9320 · Phone (812) 929-2193 · Fax (888) 789-8394

Location 2950 N Meridian StIndianapolis, IN 46204-1077 · Phone (317) 963-2200 · Fax (317) 963-1621

Other Identifiers 1

Medicaid26-3890332IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Kelly M Leach 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 ID3678910999

PECOS Enrollment IDI20240322000734

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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 $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

DEBRA HOESMAN

Counselor