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MS. BETHANY KELLEY MSW, LCSW
NPI 1821439902
Social Worker - Clinical in Los Angeles, CA

Active since July 17, 2013PECOS EnrolledAccepts Medicare Assignment
4039 NICOLET AVE, LOS ANGELES, CA 90008(747) 403-0461 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2024, Jan 14, 2016 (2 updates tracked since 2016).

About Ms. Bethany Kelley Msw, Lcsw NPPES

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

MS. BETHANY KELLEY MSW, LCSW (NPI 1821439902) is an individual clinical provider in Los Angeles, California, licensed in California (108173) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1821439902
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. BETHANY KELLEYCredential: MSW, LCSW
Location Address4039 NICOLET AVELos Angeles, CA 90008-2217
Mailing Address5500 York Ln NColumbus, OH 43232-1565
Phone(747) 403-0461
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 17, 2013
Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1821439902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · 108173✔ Licensed in OH · I.1500966
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 108173 (CA)
4039 NICOLET AVE, Los Angeles, CA 90008
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, CareSource, MedMutual and more.Insurance ›

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

Ms. Bethany Kelley Msw, 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 ID1759663461
PECOS Enrollment IDI20260508001650
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 90008 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 Bethany Kelley's NPI number?

The NPI number for Bethany Kelley is 1821439902. It was assigned to this individual provider in the NPPES registry on July 17, 2013.

Where is Bethany Kelley located?

Bethany Kelley practices at 4039 Nicolet Ave, Los Angeles, CA 90008. The listed phone number is (747) 403-0461.

What is Bethany Kelley's specialty?

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

Is Bethany Kelley enrolled in Medicare?

Yes. Bethany Kelley 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.

What insurance does Bethany Kelley accept?

Health plans from Blue Cross Blue Shield of Arizona, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 3 other insurers list Bethany Kelley 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 Bethany Kelley was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.