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MARIA TERESA KELLEY LCSW
NPI 1649365438
Social Worker in San Diego, CA

Active since October 04, 2006Opted out of Medicare · through Jul 1, 2027
3665 KEARNY VILLA RD, SUITE 165, SAN DIEGO, CA 92123(858) 966-5832(858) 966-8470 Get Directions Write a Review

NPPES record last updated: March 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maria Teresa Kelley Lcsw NPPES

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

MARIA TERESA KELLEY LCSW (NPI 1649365438) is an individual social worker in San Diego, California, licensed in California (LCS 22990) and active in the NPI registry since October 2006. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649365438
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMARIA TERESA KELLEYCredential: LCSW
Location Address3665 KEARNY VILLA RD, SUITE 165San Diego, CA 92123-1953
Mailing Address3020 Childrens Way, Mc 5018San Diego, CA 92123-4223 · (858) 966-5832
Phone(858) 966-5832
Fax(858) 966-8470
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 18, 2011
✔ NPI 1649365438 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 CA · LCS 22990
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.

3665 KEARNY VILLA RD, San Diego, CA 92123
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Maria Teresa Kelley Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

RADY'S CHILDREN'S HOSPITAL OUTPATIENT PSYCHIATRY SAN DIEGO
Marriage & Family Therapist
3665 KEARNY VILLA RD, 165
SAN DIEGO, CA 92123
San Diego County (619) 758-5993
MS. GENA M SINGER MHRS
Case Manager/Care Coordinator
3665 KEARNY VILLA RD, SUITE 165
SAN DIEGO, CA 92123
San Diego County (619) 507-7438
JANIS WINN LCSW
Social Worker (Clinical)
3665 KEARNY VILLA RD, SUITE 101
SAN DIEGO, CA 92123
San Diego County (858) 966-5832
ELIZABETH SANTANA MFT
Marriage & Family Therapist
3665 KEARNY VILLA RD, SUITE 101
SAN DIEGO, CA 92123
San Diego County (858) 966-5832
CATHERINE DICKERSON L.C.S.W.
Social Worker (Clinical)
3665 KEARNY VILLA RD, SUITE 101
SAN DIEGO, CA 92123
San Diego County (858) 966-5832
MR. RAFAEL MUNOZ JR. MSW
Case Manager/Care Coordinator
3665 KEARNY VILLA RD, STE. 405
SAN DIEGO, CA 92123
San Diego County (858) 966-5990
MRS. ALISHA MARIE CARPENTER M.A.
Student in an Organized Health Care Education/Training Program
3665 KEARNY VILLA RD, #101
SAN DIEGO, CA 92123
San Diego County (858) 966-5832
MIGUEL VILLODAS
Counselor (Mental Health)
3665 KEARNY VILLA RD
SAN DIEGO, CA 92123
San Diego County (858) 966-5832

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 Maria Kelley's NPI number?

The NPI number for Maria Kelley is 1649365438. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Maria Kelley located?

Maria Kelley practices at 3665 Kearny Villa Rd Suite 165, San Diego, CA 92123. The listed phone number is (858) 966-5832.

What is Maria Kelley's specialty?

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

Is Maria Kelley enrolled in Medicare?

No. Maria Kelley has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Maria Kelley was last updated on March 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.