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KIMBERLY A MCELWEE LCSW
NPI 1992057632
Social Worker - Clinical in Toms River, NJ

Active since October 04, 2012PECOS EnrolledAccepts Medicare Assignment
1901 LAKEWOOD RD STE 200, TOMS RIVER, NJ 08755(732) 505-4612 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly A Mcelwee Lcsw NPPES

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

KIMBERLY A MCELWEE LCSW (NPI 1992057632) is an individual clinical provider in Toms River, New Jersey, licensed in (44SC05518900) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1992057632
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY A MCELWEECredential: LCSW
Location Address1901 LAKEWOOD RD STE 200Toms River, NJ 08755-1211
Mailing Address2670 Yorktown Blvd, Unit 32Brick, NJ 08723 · (732) 262-7747 · Fax (732) 262-7740
Phone(732) 505-4612
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 4, 2012
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1992057632 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 · 44SC05518900
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.
1901 LAKEWOOD RD STE 200, Toms River, NJ 08755
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Providence Health Plan.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

Kimberly A Mcelwee Lcsw 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 ID7911120357
PECOS Enrollment IDI20140603001575
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 3

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, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
411 services36 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
261 services26 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.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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 $61.59 – $185.05
Typical copayment $0.00 (range $15.39 – $46.26)
Most-billed visit code NA
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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 4

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

DARLENE LUPO PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1901 LAKEWOOD RD STE 200
TOMS RIVER, NJ 08755
Ocean County (732) 505-4612
MS. SHANNA GOLDSTEIN LCSW
Social Worker (Clinical)
1901 LAKEWOOD RD STE 200
TOMS RIVER, NJ 08755
Ocean County (732) 505-4612
SAGE WELLNESS CENTER LLC
Social Worker (Clinical)
1901 LAKEWOOD RD STE 200
TOMS RIVER, NJ 08755
Ocean County (732) 505-4612
MR. BRIAN KENNEDY LPC
Counselor (Professional)
1901 LAKEWOOD RD STE 200
TOMS RIVER, NJ 08755
Ocean County (732) 505-4612

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 Kimberly Mcelwee's NPI number?

The NPI number for Kimberly Mcelwee is 1992057632. It was assigned to this individual provider in the NPPES registry on October 4, 2012.

Where is Kimberly Mcelwee located?

Kimberly Mcelwee practices at 1901 Lakewood Rd Ste 200, Toms River, NJ 08755. The listed phone number is (732) 505-4612.

What is Kimberly Mcelwee's specialty?

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

Is Kimberly Mcelwee enrolled in Medicare?

Yes. Kimberly Mcelwee 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 Kimberly Mcelwee accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Providence Health Plan list Kimberly Mcelwee 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 Kimberly Mcelwee was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.