SUSAN DALE KELLY MSW, LCADC, LCSW
NPI 1770956617
Social Worker in Spring Lake, NJ

NPI Status: Active since October 31, 2015

Contact Information

524 BRIGHTON AVE
SPRING LAKE, NJ
ZIP 07762
Phone: (732) 684-8763

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  • Individual
  • Female
  • Social Worker
  • PECOS Enrolled

About SUSAN KELLY

This page provides the complete NPI Profile along with additional information for Susan Kelly, a provider established in Spring Lake, New Jersey with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1770956617 assigned on October 2015. The practitioner's primary taxonomy code is 104100000X with license number 44SL05855300 (NJ). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1770956617
Provider Name
SUSAN DALE KELLY MSW, LCADC, LCSW
Gender
Female
Entity Type
Individual
Location Address
524 BRIGHTON AVE SPRING LAKE, NJ 07762
Location Phone
(732) 684-8763
Mailing Address
P.O. BOX 1826 BRICK, NJ 08723
Mailing Phone
(732) 684-8763
Is Sole Proprietor?
Yes
Enumeration Date
10-31-2015
Last Update Date
11-30-2018
Code Navigator

A social worker like Susan Kelly helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

Location Map

Secondary Locations

  • 1613 Beaver Dam Road Suite 103
    Point Pleasant, NJ 08742
    (732) 451-7668

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
44SL05855300
License State
NJ
Taxonomy Description
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1104100000XBehavioral Health & Social Service Providers

Social Worker

054613-1 (NY)

Medicare Participation & PECOS Enrollment Status

Susan Kelly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1770956617, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 1 + 8 + 5 + 1 + 2 + 6 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1770956617.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
524 BRIGHTON AVE
SPRING LAKE, NJ 07762

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770956617, enumerated as an "individual" on October 31, 2015.

The provider is located at 524 BRIGHTON AVE SPRING LAKE, NJ 07762 and the phone number is (732) 684-8763.

Social Worker with taxonomy code 104100000X.