Ms Bethany Kelley, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. She graduated from healthcare school in 2006 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Ukiah Adventist Hospital and her current practice location is
4039 Nicolet Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(747) 403-0461.
Ms Bethany Kelley is licensed to practice in California (license number 108173) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821439902.
Healthcare Provider's Profile
| Full Name | Ms Bethany Kelley |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 20 Years |
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| Location | 4039 Nicolet Ave, Los Angeles, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Bethany Kelley graduated from medical school in 2006
NPI Data:
- NPI Number: 1821439902
- Provider Enumeration Date: 07/17/2013
- Last Update Date: 12/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759663461
- Enrollment ID: I20260508001650
Medical Identifiers
Medical identifiers for Ms Bethany Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821439902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 108173 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1500966 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | 108173 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ukiah Adventist Hospital | 6406816123 | 132 |
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. Ms Bethany 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 |
|---|
Ms Bethany Kelley, MSW, LCSW
5500 York Ln N,
Columbus, OH 43232-1565
Ph: () - | Ms Bethany Kelley, MSW, LCSW
4039 Nicolet Ave,
Los Angeles, CA 90008-2217
Ph: (747) 403-0461 |
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