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KELLY LINDENBAUM
NPI 1619422771
Social Worker - Clinical in Kenosha, WI

Active since August 18, 2016PECOS EnrolledAccepts Medicare Assignment
5455 SHERIDAN RD STE LL10, KENOSHA, WI 53140(262) 909-0356(262) 551-3911 Get Directions Write a Review

NPPES record last updated: January 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 1, 2024, Nov 17, 2017, Aug 18, 2016 (3 updates tracked since 2016).

About Kelly Lindenbaum NPPES

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

KELLY LINDENBAUM (NPI 1619422771) is an individual clinical provider in Kenosha, Wisconsin, licensed in Wisconsin (8701-123) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2012).

NPPES Registry Identity

NPI1619422771
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY LINDENBAUM
Location Address5455 SHERIDAN RD STE LL10Kenosha, WI 53140-3752
Mailing Address5556 31st AveKenosha, WI 53144-2804 · (262) 909-0356
Phone(262) 909-0356
Fax(262) 551-3911
Sole ProprietorYes
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2012
Enumeration DateAugust 18, 2016
Last NPPES UpdateJanuary 1, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2024
✔ NPI 1619422771 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
Licenses✔ Licensed in WI · 8701-123✔ Licensed in WI · 8701
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 ListedMarriage & Family TherapistTaxonomy 106H00000X · License 556-228 (WI)
5455 SHERIDAN RD STE LL10, Kenosha, WI 53140
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Lindenbaum 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 ID4981988409
PECOS Enrollment IDI20170301001638
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Lindenbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ignite Psychotherapy Services LLC
Same address
Clinical
5455 SHERIDAN RD STE LL10
Kenosha, WI 53140
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1265027221 (262) 909-0356

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53140 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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

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

IGNITE PSYCHOTHERAPY SERVICES LLC
Social Worker (Clinical)
5455 SHERIDAN RD STE LL10
KENOSHA, WI 53140
Kenosha County (262) 909-0356

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 Kelly Lindenbaum's NPI number?

The NPI number for Kelly Lindenbaum is 1619422771. It was assigned to this individual provider in the NPPES registry on August 18, 2016.

Where is Kelly Lindenbaum located?

Kelly Lindenbaum practices at 5455 Sheridan Rd Ste Ll10, Kenosha, WI 53140. The listed phone number is (262) 909-0356.

What is Kelly Lindenbaum's specialty?

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

Is Kelly Lindenbaum enrolled in Medicare?

Yes. Kelly Lindenbaum 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.

Which organization bills Medicare for Kelly Lindenbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Lindenbaum reassigns Medicare benefits to Ignite Psychotherapy Services LLC (Kenosha, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Lindenbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Lindenbaum accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Kelly Lindenbaum 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 Kelly Lindenbaum was last updated on January 1, 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.