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MRS. KATHLEEN ADELAIDE SHELLY LCSW
NPI 1679634448
Social Worker - Clinical in Erie, PA

Active since December 13, 2006PECOS Enrolled
1330 W 26TH ST, ERIE, PA 16508(814) 451-2283 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2024, Mar 22, 2019 (2 updates tracked since 2019).

About Mrs. Kathleen Adelaide Shelly Lcsw NPPES

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

MRS. KATHLEEN ADELAIDE SHELLY LCSW (NPI 1679634448) is an individual clinical provider in Erie, Pennsylvania, licensed in Pennsylvania (CW014047) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679634448
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KATHLEEN ADELAIDE SHELLYCredential: LCSW
Location Address1330 W 26TH STErie, PA 16508-1402
Mailing Address1330 W 26th StErie, PA 16508-1402 · (814) 459-9300
Phone(814) 451-2283
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 5, 20242 updates tracked since enumeration
✔ NPI 1679634448 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 PA · CW014047
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.
1330 W 26TH ST, Erie, PA 16508
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Other Names 1

Professional Name (2)Miss Kathleen Adelaide Shelly Lsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kathleen Adelaide Shelly 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16508 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 $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

JAMIE MCCARRELL
Case Manager/Care Coordinator
1330 W 26TH ST
ERIE, PA 16508
Erie County (814) 983-8120
JENNIFER L CRANCE
Case Manager/Care Coordinator
1330 W 26TH ST
ERIE, PA 16508
Erie County (814) 983-8020
MARY BETH GRUNDLER
Counselor (Addiction (Substance Use Disorder))
1330 W 26TH ST
ERIE, PA 16508
Erie County (814) 451-2235
MRS. LISA MARIE THOMPSON BSN, RN
Registered Nurse
1330 W 26TH ST
ERIE, PA 16508
Erie County (814) 451-2337
ALEXIS ADAMS
Case Manager/Care Coordinator
1330 W 26TH ST
ERIE, PA 16508
Erie County (814) 431-9376
LARRY VOLLMER
Peer Specialist
1330 W 26TH ST
ERIE, PA 16508
Erie County (814) 449-6409
JAMES ROBERT DODD LPC
Counselor (Professional)
1330 W 26TH ST
ERIE, PA 16508
Erie County (814) 459-9300
JENNIFER ALISE YOUNG DBH, NCC, LPC
Counselor (Professional)
1330 W 26TH ST
ERIE, PA 16508
Erie County (814) 881-4029

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 Kathleen Shelly's NPI number?

The NPI number for Kathleen Shelly is 1679634448. It was assigned to this individual provider in the NPPES registry on December 13, 2006. The provider is also known as Miss Kathleen Adelaide Shelly Lsw.

Where is Kathleen Shelly located?

Kathleen Shelly practices at 1330 W 26th St, Erie, PA 16508. The listed phone number is (814) 451-2283.

What is Kathleen Shelly's specialty?

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

Is Kathleen Shelly enrolled in Medicare?

Yes. Kathleen Shelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Shelly was last updated on July 5, 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.