MRS. KATHLEEN ADELAIDE SHELLY LCSW
NPI 1679634448
Social Worker - Clinical in Erie, PA
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
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 (PECOS)
Mrs. Kathleen Adelaide Shelly Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kathleen Shelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Erie, PA 16502
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,881 clinicians in this Medicare group
Erie, PA 16501
- Reassigned Medicare billing, Pennsylvania enrollment
- 49 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 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.
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.
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.
Which organizations bill Medicare for Kathleen Shelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Shelly reassigns Medicare benefits to 2 organizations: Allegheny Clinic (Erie, PA) and Adagio Health Inc. (Erie, PA). Each 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 Kathleen Shelly'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 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.
# Mrs. Kathleen Adelaide Shelly, LCSW · NPI 1679634448
Clinical provider in Erie, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1679634448 (Entity type: Individual)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** CW014047 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1330 W 26TH ST, Erie, PA 16508-1402
- **Phone:** (814) 451-2283
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Allegheny Clinic (NPI 1114535028, Erie, PA); Adagio Health Inc. (NPI 1245324532, Erie, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1679634448) · Data from the CMS NPPES public registry.