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BRENDA KELLEHER LCSW, LICSW
NPI 1619227410
Social Worker - Clinical in Phoenix, AZ

Active since September 19, 2012PECOS EnrolledAccepts Medicare Assignment
20860 N TATUM BLVD STE 300, PHOENIX, AZ 85050(207) 319-9005 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2023, Jan 27, 2023, Jan 3, 2023 and 3 more (6 updates tracked since 2017).

About Brenda Kelleher Lcsw, Licsw NPPES

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

BRENDA KELLEHER LCSW, LICSW (NPI 1619227410) is an individual clinical provider in Phoenix, Arizona and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1619227410
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBRENDA KELLEHERCredential: LCSW, LICSW
Location Address20860 N TATUM BLVD STE 300Phoenix, AZ 85050-4283
Mailing Address135 Maine St Ste A-291Brunswick, ME 04011-2098 · (207) 319-9005
Phone(207) 319-9005
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 19, 2012
Last NPPES UpdateFebruary 8, 20236 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1619227410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
20860 N TATUM BLVD STE 300, Phoenix, AZ 85050
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, 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 and accepts Medicare assignment

Brenda Kelleher Lcsw, Licsw 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 ID4688084403
PECOS Enrollment IDI20210819001817
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 85050 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 $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

JOANNE KYRRA HOWDEN-RICH APRN, CNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
20860 N TATUM BLVD STE 300
PHOENIX, AZ 85050
Maricopa County (888) 660-0963
NUTRITION IS MEDICINE LLC
Dietitian, Registered
20860 N TATUM BLVD STE 300
PHOENIX, AZ 85050
Maricopa County (602) 456-0450
NATASHA HUEBNER BCBA, LBA
Behavior Analyst
20860 N TATUM BLVD STE 300
PHOENIX, AZ 85050
Maricopa County (866) 342-8847
YOUR FAMILY PHYSICIAN PC
Family Medicine
20860 N TATUM BLVD STE 300
PHOENIX, AZ 85050
Maricopa County (602) 833-4686
NORMA BARKLEY
Social Worker (Clinical)
20860 N TATUM BLVD STE 300
PHOENIX, AZ 85050
Maricopa County (602) 888-9098
BRIGHT PATHWAYS ABA AZ LLC
Community/Behavioral Health
20860 N TATUM BLVD STE 300
PHOENIX, AZ 85050
Maricopa County (303) 406-2696
MRS. COURTNEY MONY LCSW
Social Worker (Clinical)
20860 N TATUM BLVD STE 300
PHOENIX, AZ 85050
Maricopa County (480) 401-2611
ALYSSA JOY AKRE RBT
Assistant Behavior Analyst
20860 N TATUM BLVD STE 300
PHOENIX, AZ 85050
Maricopa County (866) 342-8847

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 Brenda Kelleher's NPI number?

The NPI number for Brenda Kelleher is 1619227410. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Where is Brenda Kelleher located?

Brenda Kelleher practices at 20860 N Tatum Blvd Ste 300, Phoenix, AZ 85050. The listed phone number is (207) 319-9005.

What is Brenda Kelleher's specialty?

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

Is Brenda Kelleher enrolled in Medicare?

Yes. Brenda Kelleher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brenda Kelleher accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Brenda Kelleher 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 Brenda Kelleher was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.