KELLEY HAGGERTY LCSW
NPI 1962924431
Social Worker - Clinical in Glens Falls, NY

Active since July 16, 2017PECOS Enrolled
1 LAWRENCE ST, GLENS FALLS, NY 12801(518) 926-7100 Get Directions Write a Review

NPPES record last updated: March 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelley Haggerty Lcsw NPPES

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

KELLEY HAGGERTY LCSW (NPI 1962924431) is an individual clinical provider in Glens Falls, New York, licensed in New York (091207) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1962924431
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLEY HAGGERTYCredential: LCSW
Location Address1 LAWRENCE STGlens Falls, NY 12801-3617
Mailing Address17 North Ln Apt DSaratoga Springs, NY 12866-4365 · (518) 496-9760
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 16, 2017
Last NPPES UpdateMarch 31, 2024
NPPES CertifiedMarch 31, 2024
✔ NPI 1962924431 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 NY · 091207
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 9488229 (NY)
1 LAWRENCE ST, Glens Falls, NY 12801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Haggerty Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072959568
PECOS Enrollment IDI20240718001809
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 Kelley Haggerty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
115 FALL ST
Seneca Falls, NY 13148
  • Reassigned Medicare billing, New York enrollment
  • 12 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 12801 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Social Worker (Clinical)
1 LAWRENCE ST
GLENS FALLS, NY 12801
Social Worker (Clinical)
1 LAWRENCE ST
GLENS FALLS, NY 12801
Social Worker
1 LAWRENCE ST
GLENS FALLS, NY 12801
Registered Nurse (Psychiatric/Mental Health, Adult)
1 LAWRENCE ST
GLENS FALLS, NY 12801
Pediatrics
1 LAWRENCE ST
GLENS FALLS, NY 12801
Social Worker
1 LAWRENCE ST
GLENS FALLS, NY 12801
Registered Nurse (Psychiatric/Mental Health, Adult)
1 LAWRENCE ST
GLENS FALLS, NY 12801
Social Worker
1 LAWRENCE ST
GLENS FALLS, NY 12801

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 Haggerty's NPI number?

The NPI number for Kelley Haggerty is 1962924431. It was assigned to this individual provider in the NPPES registry on July 16, 2017.

Where is Kelley Haggerty located?

Kelley Haggerty practices at 1 Lawrence St, Glens Falls, NY 12801. The listed phone number is (518) 926-7100.

What is Kelley Haggerty's specialty?

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

Is Kelley Haggerty enrolled in Medicare?

Yes. Kelley Haggerty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelley Haggerty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Haggerty reassigns Medicare benefits to Presence Sealy Counseling And Development Licensedclinicalservicespllc (Seneca Falls, NY). 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 Kelley Haggerty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelley Haggerty was last updated on March 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.