MS. BETHANY KELLEY MSW, LCSW
NPI 1821439902
Social Worker - Clinical in Los Angeles, CA
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, maintains a secondary practice location in Marion, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Bethany Kelley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Murrieta, CA 92562
- Reassigned Medicare billing, Ohio enrollment
- 11 clinicians in this Medicare group
Clearlake, CA 95422
- Reassigned Medicare billing, California enrollment
- 182 clinicians in this Medicare group
Ukiah, CA 95482
- Reassigned Medicare billing, California enrollment
- 221 clinicians in this Medicare group
Beachwood, OH 44122
- Reassigned Medicare billing, Ohio enrollment
- 713 clinicians in this Medicare group
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 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.
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.
Which organizations bill Medicare for Bethany Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Kelley reassigns Medicare benefits to 4 organizations: Wellqor Psychological Services Of California, PC (Murrieta, CA), Adventist Health Clearlake Hospital Inc. (Clearlake, CA), Ukiah Adventist Hospital (Ukiah, CA) and Psychological & Behavioral Consultants, LLC (Beachwood, OH). Each 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 Bethany Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bethany Kelley accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 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 22 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.
# Ms. Bethany Kelley, MSW, LCSW · NPI 1821439902
Clinical provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 17, 2013.
## Identity
- **NPI:** 1821439902 (Entity type: Individual)
- **Enumerated:** July 17, 2013
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 108173 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4039 NICOLET AVE, Los Angeles, CA 90008-2217
- **Phone:** (747) 403-0461
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Wellqor Psychological Services Of California, PC (NPI 1093173742, Murrieta, CA); Adventist Health Clearlake Hospital Inc. (NPI 1124018031, Clearlake, CA); Ukiah Adventist Hospital (NPI 1235120676, Ukiah, CA); Psychological & Behavioral Consultants, LLC (NPI 1811915713, Beachwood, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** December 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1821439902) · Data from the CMS NPPES public registry.