ABIGAIL KELLEY MSW, LICSW
NPI 1992041222
Social Worker - Clinical in Brooklyn Park, MN

Active since December 13, 2012PECOS EnrolledAccepts Medicare Assignment
8500 EDINBROOK PKWY, BROOKLYN PARK, MN 55443(763) 488-4084 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2020, Oct 7, 2019 (2 updates tracked since 2019).

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, maintains a secondary practice location in Coon Rapids, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1992041222
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameABIGAIL KELLEYCredential: MSW, LICSW
Location Address8500 EDINBROOK PKWYBrooklyn Park, MN 55443
Mailing Address14115 James Rd, Ste 305Rogers, MN 55374-9417 · (763) 427-7964
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 13, 2012
Last NPPES UpdateDecember 11, 20202 updates tracked since enumeration
NPPES CertifiedDecember 11, 2020
NPI 1992041222 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 MN · 19973
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.

8500 EDINBROOK PKWY, Brooklyn Park, MN 55443

Other Names 1

Former Name (1)Abigail Simon Msw, Licsw

Secondary Practice Location 1

Location 11930 Coon Rapids Blvd NWCoon Rapids, MN 55433-4708 · Phone (763) 427-7964

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

Abigail Kelley Msw, 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 ID840444865
PECOS Enrollment IDI20130129000043
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 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.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 17

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

Nurse Practitioner (Pediatrics)
8500 EDINBROOK PKWY
BROOKLYN PARK, MN 55443
Nurse Practitioner (Pediatrics)
8500 EDINBROOK PKWY
BROOKLYN PARK, MN 55443
Nurse Practitioner (Pediatrics)
8500 EDINBROOK PKWY
BROOKLYN PARK, MN 55443
Chiropractor
8500 EDINBROOK PKWY, SUITE F
BROOKLYN PARK, MN 55443
Pediatrics
8500 EDINBROOK PKWY
BROOKLYN PARK, MN 55443
Nurse Practitioner (Pediatrics)
8500 EDINBROOK PKWY
BROOKLYN PARK, MN 55443
Pediatrics
8500 EDINBROOK PKWY
BROOKLYN PARK, MN 55443
Pediatrics
8500 EDINBROOK PKWY
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 with the weekly NPPES data releases published by CMS.