NICOLE ANGELA KELLY-GORDON
NPI 1851752224
Social Worker - Clinical in Flagstaff, AZ

Q: What is Nicole Kelly-gordon's NPI number?

The NPI number for Nicole Kelly-gordon is 1851752224. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Q: What is Nicole Kelly-gordon's specialty?

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

Active since March 14, 2016PECOS Enrolled

2920 N 4TH ST, FLAGSTAFF, AZ 86004(928) 853-2360(928) 853-2360 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2026, Oct 14, 2022, Nov 23, 2021 and 3 more (6 updates tracked since 2016).

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About Nicole Angela Kelly-gordon NPPES

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

NICOLE ANGELA KELLY-GORDON (NPI 1851752224) is an individual clinical provider in Flagstaff, Arizona, licensed in Arizona (LCSW-15933) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851752224

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNICOLE ANGELA KELLY-GORDON

Location Address2920 N 4TH STFlagstaff, AZ 86004-1816

Mailing AddressPo Box 1231Tucson, AZ 85702-1231 · (520) 670-3909 · Fax (520) 309-2560

Phone(928) 853-2360

Fax(928) 853-2360

Sole ProprietorNo

Enumeration DateMarch 14, 2016

Last NPPES UpdateApril 20, 20266 updates tracked since enumeration

NPPES CertifiedApril 20, 2026

✔ NPI 1851752224 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 AZ · LCSW-15933

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.

2920 N 4TH ST, Flagstaff, AZ 86004

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Other Identifiers 1

Medicaid123528AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Angela Kelly-gordon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 86004 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 $55.44 – $168.60

Typical copayment $0.00 (range $13.86 – $42.15)

Most-billed visit code NA

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

DUNYA COPE LPC

Counselor (Professional)