1. Home
  2. Directory
  3. Connecticut
  4. Meriden
  5. Social Worker
  6. NPI Profile

KIMBERLY KELLY LCSW
NPI 1801516570
Social Worker - Clinical in Meriden, CT

Active since September 01, 2022PECOS Enrolled
134 STATE ST, MERIDEN, CT 06450(860) 347-6971(860) 343-7379 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 15, 2026, Jun 1, 2026, May 29, 2026 and 1 more (4 updates tracked since 2022).

About Kimberly Kelly Lcsw NPPES

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

KIMBERLY KELLY LCSW (NPI 1801516570) is an individual clinical provider in Meriden, Connecticut, licensed in Connecticut (6238) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rocky Hill, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1801516570
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY KELLYCredential: LCSW
Location Address134 STATE STMeriden, CT 06450-3293
Mailing Address67 Carillon Dr Unit ARocky Hill, CT 06067-2501 · (860) 965-2690
Phone(860) 347-6971
Fax(860) 343-7379
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 1, 2022
Last NPPES UpdateJuly 15, 20264 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1801516570 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 CT · 6238
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.
134 STATE ST, Meriden, CT 06450
Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly Kelly Lcsw

Secondary Practice Location 1

Location 167 Carillon Dr Unit ARocky Hill, CT 06067-2501 · Phone (860) 965-2690

Other Identifiers 1

Medicaid008001955CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Kelly Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890252787
PECOS Enrollment IDI20260811002557
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 Kimberly Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Center Inc
7.9 mi
Federally Qualified Health Center (FQHC)
675 MAIN ST
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 390 clinicians in this Medicare group
NPI 1952591851 (860) 347-6971

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 06450 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

REBECCA WILSON LCSW
Social Worker (Clinical)
134 STATE ST
MERIDEN, CT 06450
South Central Connecticut Planning Region (203) 237-2229
KARA A LEWIS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
134 STATE ST, WALGREENS PHARMACY
MERIDEN, CT 06450
South Central Connecticut Planning Region (203) 634-3241
EMILY MORGAN MCATEE B.S.
Counselor (Mental Health)
134 STATE ST
MERIDEN, CT 06450
South Central Connecticut Planning Region (203) 237-2229
SUZANNE BURGESS RN
Registered Nurse
134 STATE ST
MERIDEN, CT 06450
South Central Connecticut Planning Region (203) 237-2229
DIANA SOBIERAJ PHARMD
Pharmacist
134 STATE ST
MERIDEN, CT 06450
South Central Connecticut Planning Region (413) 262-9501
BRENNA DION APRN
Nurse Practitioner (Family)
134 STATE ST
MERIDEN, CT 06450
South Central Connecticut Planning Region (203) 237-2229
MARY LIMBERT RN
Registered Nurse
134 STATE ST
MERIDEN, CT 06450
South Central Connecticut Planning Region (203) 237-2229
DANIELLE MARIE MONTESANTO APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
134 STATE ST
MERIDEN, CT 06450
South Central Connecticut Planning Region (203) 237-2229

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 Kimberly Kelly's NPI number?

The NPI number for Kimberly Kelly is 1801516570. It was assigned to this individual provider in the NPPES registry on September 1, 2022. The provider is also known as Kimberly Kelly Lcsw.

Where is Kimberly Kelly located?

Kimberly Kelly practices at 134 State St, Meriden, CT 06450. The listed phone number is (860) 347-6971.

What is Kimberly Kelly's specialty?

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

Is Kimberly Kelly enrolled in Medicare?

Yes. Kimberly Kelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Kelly reassigns Medicare benefits to Community Health Center Inc (Middletown, CT). 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 Kimberly Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Kelly accept?

Health plans from Anthem Blue Cross and Blue Shield list Kimberly Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Kelly was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.