KELLEY BOTHE MSW, LICSW
NPI 1740403351
Social Worker - Clinical in Concord, MA

Active since April 11, 2007PECOS EnrolledAccepts Medicare Assignment
17 SIMON WILLARD LN, CONCORD, MA 01742(781) 277-7687 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 5, 2022, Feb 24, 2022 (2 updates tracked since 2022).

About Kelley Bothe Msw, Licsw NPPES

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

KELLEY BOTHE MSW, LICSW (NPI 1740403351) is an individual clinical provider in Concord, Massachusetts, licensed in Massachusetts (1018767) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1740403351
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLEY BOTHECredential: MSW, LICSW
Location Address17 SIMON WILLARD LNConcord, MA 01742-1644
Mailing Address17 Simon Willard LnConcord, MA 01742-1644 · (781) 277-7687
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateApril 11, 2007
Last NPPES UpdateJuly 5, 20222 updates tracked since enumeration
NPPES CertifiedJuly 5, 2022
NPI 1740403351 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 MA · 1018767
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.

17 SIMON WILLARD LN, Concord, MA 01742

Other Identifiers 1

OtherPO6052Blue Cross Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelley Bothe Msw, Licsw 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 ID446235683
PECOS Enrollment IDI20040622000204
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 01742 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 $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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

The NPI number assigned to this healthcare provider is 1740403351, enumerated as an "individual" on April 11, 2007.

The provider is located at 17 SIMON WILLARD LN CONCORD, MA 01742 and the phone number is (781) 277-7687.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.