MRS. KELLEY HOLIDAY LCSW
NPI 1669290391
Social Worker - Clinical in Kingston, NY
About Mrs. Kelley Holiday Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLEY HOLIDAY LCSW (NPI 1669290391) is an individual clinical provider in Kingston, New York, licensed in New York (097282) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Mrs. Kelley Holiday 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelley Holiday reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middletown, NY 10941
- Reassigned Medicare billing, New York enrollment
- 103 clinicians in this Medicare group
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 12401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
KINGSTON, NY 12401
KINGSTON, NY 12401
KINGSTON, NY 12401
KINGSTON, NY 12401
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 Kelley Holiday's NPI number?
The NPI number for Kelley Holiday is 1669290391. It was assigned to this individual provider in the NPPES registry on October 1, 2024. The provider is also known as Kelley Kochert.
Where is Kelley Holiday located?
Kelley Holiday practices at 1 Family Practice Dr, Kingston, NY 12401. The listed phone number is (512) 413-4742.
What is Kelley Holiday's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kelley Holiday enrolled in Medicare?
Yes. Kelley Holiday 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 Kelley Holiday's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Holiday reassigns Medicare benefits to Access: Supports For Living Inc (Middletown, NY). 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 Kelley Holiday's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelley Holiday was last updated on October 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.
# Mrs. Kelley Holiday, LCSW · NPI 1669290391
Clinical provider in Kingston, New York. Individual provider, active in the CMS NPPES registry since October 1, 2024.
## Identity
- **NPI:** 1669290391 (Entity type: Individual)
- **Enumerated:** October 1, 2024
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 097282 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 FAMILY PRACTICE DR, Kingston, NY 12401-6449
- **Phone:** (512) 413-4742
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Access: Supports For Living Inc (NPI 1215122361, Middletown, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** October 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669290391) · Data from the CMS NPPES public registry.