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KELLY DEJESUS LCSWA
NPI 1972230753
Social Worker - Clinical in Raleigh, NC

Active since August 02, 2022PECOS Enrolled
2409 CRABTREE BLVD, RALEIGH, NC 27604(919) 355-9145 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 3, 2026, Oct 27, 2022, Aug 2, 2022 (3 updates tracked since 2022).

About Kelly Dejesus Lcswa NPPES

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

KELLY DEJESUS LCSWA (NPI 1972230753) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (C019237) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1972230753
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY DEJESUSCredential: LCSWA
Location Address2409 CRABTREE BLVDRaleigh, NC 27604-4544
Mailing Address2805 Smoke PlRaleigh, NC 27610-5989 · (919) 868-0492
Phone(919) 355-9145
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 2, 2022
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1972230753 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 NC · C019237
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.
2409 CRABTREE BLVD, Raleigh, NC 27604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Dejesus Lcswa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749766970
PECOS Enrollment IDI20260107004351
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 Kelly Dejesus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wakemed
2.1 mi
Internal Medicine
3000 NEW BERN AVE
Raleigh, NC 27610
  • Reassigned Medicare billing, North Carolina enrollment
  • 182 clinicians in this Medicare group
NPI 1194907717 (919) 350-8000

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 27604 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Kelly Dejesus's NPI number?

The NPI number for Kelly Dejesus is 1972230753. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Kelly Dejesus located?

Kelly Dejesus practices at 2409 Crabtree Blvd, Raleigh, NC 27604. The listed phone number is (919) 355-9145.

What is Kelly Dejesus's specialty?

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

Is Kelly Dejesus enrolled in Medicare?

Yes. Kelly Dejesus is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Dejesus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Dejesus reassigns Medicare benefits to Wakemed (Raleigh, NC). 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 Kelly Dejesus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Dejesus accept?

Health plans from Blue Cross and Blue Shield of NC list Kelly Dejesus 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 Kelly Dejesus was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.