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KELLEY WEST LCSW
NPI 1902561012
Social Worker - Clinical in Lawrenceville, GA

Active since November 03, 2021Opted out of Medicare · through Jul 21, 2027
911 DULUTH HIGHWAY, # C-1B-315, LAWRENCEVILLE, GA 30043(404) 496-8621 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2026, Jul 2, 2025, Nov 3, 2021 (3 updates tracked since 2021).

About Kelley West Lcsw NPPES

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

KELLEY WEST LCSW (NPI 1902561012) is an individual clinical provider in Lawrenceville, Georgia, licensed in Georgia (CSW009685) and active in the NPI registry since November 2021. She has opted out of Medicare through July 21, 2027.

NPPES Registry Identity

NPI1902561012
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLEY WESTCredential: LCSW
Location Address911 DULUTH HIGHWAY, # C-1B-315Lawrenceville, GA 30043
Mailing Address911 Duluth Highway, # C-1b-315Lawrenceville, GA 30043 · (404) 496-8621
Phone(404) 496-8621
Sole ProprietorYes
Enumeration DateNovember 3, 2021
Last NPPES UpdateApril 9, 20263 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1902561012 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
License✔ Licensed in GA · CSW009685
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 ListedSocial WorkerTaxonomy 104100000X · License MSW010330 (GA)
911 DULUTH HIGHWAY, Lawrenceville, GA 30043
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelley West Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 21, 2025 through July 21, 2027.

Opt-Out Effective DateJuly 21, 2025
Opt-Out In Effect ThroughJuly 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Kelley West's NPI number?

The NPI number for Kelley West is 1902561012. It was assigned to this individual provider in the NPPES registry on November 3, 2021.

Where is Kelley West located?

Kelley West practices at 911 Duluth Highway # C-1b-315, Lawrenceville, GA 30043. The listed phone number is (404) 496-8621.

What is Kelley West's specialty?

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

Is Kelley West enrolled in Medicare?

No. Kelley West has opted out of Medicare through July 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelley West was last updated on April 9, 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.