JENNIFER ANN KELLY
NPI 1609499714
Social Worker - Clinical in Marietta, GA

Q: What is Jennifer Kelly's NPI number?

The NPI number for Jennifer Kelly is 1609499714. It was assigned to this individual provider in the NPPES registry on May 22, 2020.

Q: What is Jennifer Kelly'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 Jennifer Kelly was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 May 22, 2020PECOS EnrolledAccepts Medicare Assignment

2940 JOHNSON FERRY RD STE B-127, MARIETTA, GA 30062(678) 637-7166(770) 414-0804 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Ann Kelly NPPES

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

JENNIFER ANN KELLY (NPI 1609499714) is an individual clinical provider in Marietta, Georgia, licensed in Georgia (CSW005108) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1609499714

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNIFER ANN KELLY

Location Address2940 JOHNSON FERRY RD STE B-127Marietta, GA 30062-8361

Mailing Address2940 Johnson Ferry Rd Ste B-127Marietta, GA 30062-8361 · (678) 637-7166 · Fax (770) 414-0804

Phone(678) 637-7166

Fax(770) 414-0804

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateMay 22, 2020

NPPES CertifiedMay 22, 2020

✔ NPI 1609499714 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 GA · CSW005108

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.

2940 JOHNSON FERRY RD STE B-127, Marietta, GA 30062

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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

Jennifer Ann Kelly 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 ID3779904560

PECOS Enrollment IDI20200603001525

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 2

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.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

417 services31 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

29 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30062 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 $56.84 – $172.43

Typical copayment $0.00 (range $14.21 – $43.10)

Most-billed visit code NA

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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 10

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

LAURA CAROLYN JALBERT LCSW

Social Worker (Clinical)