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MR. JOSEPH M. KELLY LCSW
NPI 1720101637
Social Worker - Clinical in Troy, NY

Active since April 06, 2007PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Joseph M. Kelly Lcsw NPPES

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

MR. JOSEPH M. KELLY LCSW (NPI 1720101637) is an individual clinical provider in Troy, New York, licensed in New York (R-043310-1) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1720101637
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JOSEPH M. KELLYCredential: LCSW
Location Address457 BROADWAYTroy, NY 12180-3331
Mailing Address51 Sycamore StAlbany, NY 12208-2715 · (518) 956-0177
Phone(518) 956-0177
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateApril 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720101637 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 NY · R-043310-1
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.
457 BROADWAY, Troy, NY 12180
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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

Mr. Joseph M. Kelly 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.

PECOS PAC ID3779576996
PECOS Enrollment IDI20040405001150
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 Joseph Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional Medical Concierge Services, PLLC
25 mi
Family Medicine
37 FRIAR TUCK WAY
Saratoga Springs, NY 12866
  • Reassigned Medicare billing, New York enrollment
  • 127 clinicians in this Medicare group
NPI 1841812310 (518) 238-6028

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 12180 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 Joseph Kelly's NPI number?

The NPI number for Joseph Kelly is 1720101637. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Joseph Kelly located?

Joseph Kelly practices at 457 Broadway, Troy, NY 12180. The listed phone number is (518) 956-0177.

What is Joseph Kelly's specialty?

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

Is Joseph Kelly enrolled in Medicare?

Yes. Joseph Kelly 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 Joseph Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Kelly reassigns Medicare benefits to Professional Medical Concierge Services, PLLC (Saratoga Springs, 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 Joseph Kelly'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 Joseph Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.