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KELLY DUARTE
NPI 1831066125
Social Worker - Clinical in Briarcliff Manor, NY

Active since October 21, 2025PECOS EnrolledAccepts Medicare Assignment
161 MEADOW RD, BRIARCLIFF MANOR, NY 10510(914) 924-3819 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Duarte NPPES

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

KELLY DUARTE (NPI 1831066125) is an individual clinical provider in Briarcliff Manor, New York, licensed in New York (100986) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831066125
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY DUARTE
Location Address161 MEADOW RDBriarcliff Manor, NY 10510-1136
Mailing Address161 Meadow RdBriarcliff Manor, NY 10510-1136
Phone(914) 924-3819
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1831066125 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 NY · 100986
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.
161 MEADOW RD, Briarcliff Manor, NY 10510
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and accepts Medicare assignment

Kelly Duarte 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 ID2062998867
PECOS Enrollment IDI20260112002167
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 Kelly Duarte reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emh Family Services PC
31 mi
Marriage & Family Therapist
55 WALLS DR, STE 206
Fairfield, CT 06824
  • Reassigned Medicare billing, Connecticut enrollment
  • 42 clinicians in this Medicare group
NPI 1619611464 (845) 656-3053

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 10510 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 Kelly Duarte's NPI number?

The NPI number for Kelly Duarte is 1831066125. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Where is Kelly Duarte located?

Kelly Duarte practices at 161 Meadow Rd, Briarcliff Manor, NY 10510. The listed phone number is (914) 924-3819.

What is Kelly Duarte's specialty?

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

Is Kelly Duarte enrolled in Medicare?

Yes. Kelly Duarte 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 organization bills Medicare for Kelly Duarte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Duarte reassigns Medicare benefits to Emh Family Services PC (Fairfield, 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 Kelly Duarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Duarte accept?

Health plans from Anthem Blue Cross and Blue Shield list Kelly Duarte 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 Kelly Duarte was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.