1. Home
  2. Directory
  3. NPI Profile

KELLEY JEAN GROVER LCSW
NPI 1669531828
Social Worker - Clinical in Etna, ME

Active since December 06, 2006PECOS Enrolled
540 OLD COUNTY RD, ETNA, ME 04434(207) 577-1646 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelley Jean Grover Lcsw NPPES

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

KELLEY JEAN GROVER LCSW (NPI 1669531828) is an individual clinical provider in Etna, Maine, licensed in Maine (LC11550) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669531828
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLEY JEAN GROVERCredential: LCSW
Location Address540 OLD COUNTY RDEtna, ME 04434-3818
Mailing Address223 S Livermore RdTurner, ME 04282-3102 · (207) 577-1646
Phone(207) 577-1646
Sole ProprietorNo
Enumeration DateDecember 6, 2006
Last NPPES UpdateJanuary 9, 2020
✔ NPI 1669531828 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 ME · LC11550
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.
540 OLD COUNTY RD, Etna, ME 04434
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelley Jean Landry Lcsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Jean Grover Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kelley Grover reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kennebec Valley Mental Health Center
29 mi
Mental Health (Including Community Mental Health Center)
67 EUSTIS PKWY
Waterville, ME 04901
  • Reassigned Medicare billing, Maine enrollment
  • 92 clinicians in this Medicare group
NPI 1679504864 (207) 873-2136

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 04434 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 $53.26 – $162.77
Typical copayment $0.00 (range $13.31 – $40.69)
Most-billed visit code NA
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

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 Grover's NPI number?

The NPI number for Kelley Grover is 1669531828. It was assigned to this individual provider in the NPPES registry on December 6, 2006. The provider is also known as Kelley Jean Landry Lcsw.

Where is Kelley Grover located?

Kelley Grover practices at 540 Old County Rd, Etna, ME 04434. The listed phone number is (207) 577-1646.

What is Kelley Grover's specialty?

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

Is Kelley Grover enrolled in Medicare?

Yes. Kelley Grover is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelley Grover's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Grover reassigns Medicare benefits to Kennebec Valley Mental Health Center (Waterville, ME). 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 Grover'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 Grover was last updated on January 9, 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.