MARY KATHLEEN KELLEY LICSW
NPI 1972227783
Social Worker - Clinical in Madison, AL

Active since September 27, 2022PECOS EnrolledAccepts Medicare Assignment
600 SUN TEMPLE DR, MADISON, AL 35758(256) 975-4291 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Kathleen Kelley Licsw NPPES

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

MARY KATHLEEN KELLEY LICSW (NPI 1972227783) is an individual clinical provider in Madison, Alabama, licensed in Alabama (0558C) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1972227783
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY KATHLEEN KELLEYCredential: LICSW
Location Address600 SUN TEMPLE DRMadison, AL 35758-8643
Mailing Address600 Sun Temple DrMadison, AL 35758-8643 · (256) 975-4291
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 27, 2022
NPPES CertifiedSeptember 27, 2022
NPI 1972227783 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 AL · 0558C
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.
600 SUN TEMPLE DR, Madison, AL 35758

Accepted 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

Mary Kathleen Kelley Licsw 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 ID5799161378
PECOS Enrollment IDI20221005001570
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
131 services54 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
42 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35758 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 $52.65 – $161.63
Typical copayment $0.00 (range $13.16 – $40.40)
Most-billed visit code NA
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

Nurse Practitioner (Family)
600 SUN TEMPLE DR
MADISON, AL 35758
Nurse Practitioner (Family)
600 SUN TEMPLE DR
MADISON, AL 35758
Nurse Practitioner (Psychiatric/Mental Health)
600 SUN TEMPLE DR
MADISON, AL 35758
Nurse Practitioner (Psychiatric/Mental Health)
600 SUN TEMPLE DR
MADISON, AL 35758
Nurse Practitioner (Family)
600 SUN TEMPLE DR
MADISON, AL 35758
Nurse Practitioner (Family)
600 SUN TEMPLE DR
MADISON, AL 35758
Social Worker (Clinical)
600 SUN TEMPLE DR
MADISON, AL 35758
Psychiatry & Neurology (Psychiatry)
600 SUN TEMPLE DR
MADISON, AL 35758

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 Kelley's NPI number?

The NPI number for Mary Kelley is 1972227783. It was assigned to this individual provider in the NPPES registry on September 27, 2022.

Where is Mary Kelley located?

Mary Kelley practices at 600 Sun Temple Dr, Madison, AL 35758. The listed phone number is (256) 975-4291.

What is Mary Kelley's specialty?

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

Is Mary Kelley enrolled in Medicare?

Yes. Mary Kelley 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 Kelley accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and Providence Health Plan list Mary Kelley 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 Kelley was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.