ABIGAIL KELLEY MSW, LICSW
NPI 1992041222
Social Worker - Clinical in Brooklyn Park, MN
About Abigail Kelley Msw, Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABIGAIL KELLEY MSW, LICSW (NPI 1992041222) is an individual clinical provider in Brooklyn Park, Minnesota, licensed in Minnesota (19973) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Coon Rapids.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Abigail Kelley Msw, Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Abigail Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Golden Valley, MN 55422
- Reassigned Medicare billing, Minnesota enrollment
- 29 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 55443 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN PARK, MN 55443
BROOKLYN PARK, MN 55443
BROOKLYN PARK, MN 55443
BROOKLYN PARK, MN 55443
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 Abigail Kelley's NPI number?
The NPI number for Abigail Kelley is 1992041222. It was assigned to this individual provider in the NPPES registry on December 13, 2012. The provider is also known as Abigail Simon Msw, Licsw.
Where is Abigail Kelley located?
Abigail Kelley practices at 8500 Edinbrook Pkwy, Brooklyn Park, MN 55443. The listed phone number is (763) 488-4084.
What is Abigail Kelley's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Abigail Kelley enrolled in Medicare?
Yes. Abigail Kelley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Abigail Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abigail Kelley reassigns Medicare benefits to Vanda Counseling And Psychological Services (Golden Valley, MN). 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 Abigail Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abigail Kelley accept?
Health plans from HealthPartners list Abigail 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 Abigail Kelley was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Abigail Kelley, MSW, LICSW · NPI 1992041222
Clinical provider in Brooklyn Park, Minnesota. Individual provider, active in the CMS NPPES registry since December 13, 2012.
## Identity
- **NPI:** 1992041222 (Entity type: Individual)
- **Enumerated:** December 13, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 19973 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 8500 EDINBROOK PKWY, Brooklyn Park, MN 55443
- **Phone:** (763) 488-4084
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Vanda Counseling And Psychological Services (NPI 1295131779, Golden Valley, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1992041222) · Data from the CMS NPPES public registry.