KELLEY ELLEN STAFFORD SALVO LCSW
NPI 1780266106
Social Worker - Clinical in Bloomington, IN

Q: What is Kelley Stafford Salvo's NPI number?

The NPI number for Kelley Stafford Salvo is 1780266106. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Q: What is Kelley Stafford Salvo's specialty?

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

Active since April 26, 2021PECOS EnrolledAccepts Medicare Assignment

645 S ROGERS ST, BLOOMINGTON, IN 47403(812) 339-1691(812) 339-8109 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2025, Apr 26, 2021 (2 updates tracked since 2021).

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About Kelley Ellen Stafford Salvo Lcsw NPPES

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

KELLEY ELLEN STAFFORD SALVO LCSW (NPI 1780266106) is an individual clinical provider in Bloomington, Indiana, licensed in Indiana (34009263A) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780266106

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELLEY ELLEN STAFFORD SALVOCredential: LCSW

Location Address645 S ROGERS STBloomington, IN 47403-2353

Mailing Address645 S Rogers StBloomington, IN 47403-2353 · (812) 339-1691 · Fax (812) 339-8109

Phone(812) 339-1691

Fax(812) 339-8109

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 26, 2021

Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration

NPPES CertifiedMarch 3, 2025

✔ NPI 1780266106 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 IN · 34009263A

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.

645 S ROGERS ST, Bloomington, IN 47403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Kelley Ellen Stafford Salvo 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 ID9931503695

PECOS Enrollment IDI20210803003060

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 Kelley Stafford Salvo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centerstone Of Indiana, Inc.

Same address

Mental Health (Including Community Mental Health Center)

645 S ROGERS ST
Bloomington, IN 47403

Reassigned Medicare billing, Indiana enrollment
251 clinicians in this Medicare group

NPI 1972320224 (812) 339-1691

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 47403 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 $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

DEBRA HOESMAN

Counselor