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MS. MARY JEAN KELLETT LCSW
NPI 1912055054
Social Worker - Clinical in Louisville, KY

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
9812 SHELBYVILLE RD, SUITE 4, LOUISVILLE, KY 40223(502) 423-0509(502) 423-1599 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Mary Jean Kellett Lcsw NPPES

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

MS. MARY JEAN KELLETT LCSW (NPI 1912055054) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (954) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (1990).

NPPES Registry Identity

NPI1912055054
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY JEAN KELLETTCredential: LCSW
Location Address9812 SHELBYVILLE RD, SUITE 4Louisville, KY 40223-2906
Mailing Address9812 Shelbyville Rd, Suite 4Louisville, KY 40223-2906 · (502) 423-0509 · Fax (502) 423-1599
Phone(502) 423-0509
Fax(502) 423-1599
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1990
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912055054 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 KY · 954
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.
9812 SHELBYVILLE RD, Louisville, KY 40223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Mary Jean Kellett 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 ID345527792
PECOS Enrollment IDI20170511002857
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 40223 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 $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARILYN KAY GAUSS M.A., LMFT, LPCA
Marriage & Family Therapist
9812 SHELBYVILLE RD, SUITE 4
LOUISVILLE, KY 40223
Jefferson County (502) 423-0509
DR. SUZANN O'KOON PHD
Psychologist
9812 SHELBYVILLE RD, STE. 4
LOUISVILLE, KY 40223
Jefferson County (502) 939-2987

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 Mary Kellett's NPI number?

The NPI number for Mary Kellett is 1912055054. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Mary Kellett located?

Mary Kellett practices at 9812 Shelbyville Rd Suite 4, Louisville, KY 40223. The listed phone number is (502) 423-0509.

What is Mary Kellett's specialty?

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

Is Mary Kellett enrolled in Medicare?

Yes. Mary Kellett 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 Mary Kellett accept?

Health plans from Providence Health Plan list Mary Kellett 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 Mary Kellett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.