Jackelyn Rae Kelley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Francisco, California. She graduated from healthcare school in 2013 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1001 Potrero Ave, Ward 93, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(724) 544-3437.
Jackelyn Rae Kelley is licensed to practice in California (license number 100708) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1063837144.
Healthcare Provider's Profile
| Full Name | Jackelyn Rae Kelley |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 13 Years |
|---|
| Location | 1001 Potrero Ave, San Francisco, California |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Jackelyn Rae Kelley graduated from medical school in 2013
NPI Data:
- NPI Number: 1063837144
- Provider Enumeration Date: 02/26/2014
- Last Update Date: 04/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 8820587314
- Enrollment ID: I20251025000460
Medical Identifiers
Medical identifiers for Jackelyn Rae Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063837144 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 60311 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 100708 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackelyn Rae Kelley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jackelyn Rae Kelley, LCSW
141 Oak Pl,
Pittsburg, CA 94565-3820
Ph: (724) 544-3437 | Jackelyn Rae Kelley, LCSW
1001 Potrero Ave, Ward 93,
San Francisco, CA 94110-3518
Ph: (724) 544-3437 |
Reviews and Comments