KELLY JO ROSARIO (LCSW) – Clinical Social Worker, NPI 1215442165

KELLY JO ROSARIO (LCSW) is a healthcare provider. based in New port richey, Florida. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 14979 (FL). The NPI Number for KELLY JO ROSARIO (LCSW) is 1215442165

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KELLY JO ROSARIO (LCSW)
NPI
1215442165
Phone
(727) 645-1201
Address
8002 KING HELIE BLVD
Enumeration Date
13 December 2017
Last Update Date
25 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7279435566
Graduation Year
2013 (13 years ago)
PAC ID
1456610443
Group Practice PAC ID
4688649122
Professional Enrollment ID
I20180119002403

Contacts

Secure Messaging
Kelly.BeadleLCSW@direct.mybaycare.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

Provider Addresses for KELLY JO ROSARIO (LCSW)

  • 8002 KING HELIE BLVD

    NEW PORT RICHEY, FL 346531435

    Phone: (727) 645-1201

    Type: Location

  • 15311 CORTEZ BLVD

    BROOKSVILLE, FL 346136005

    Phone: (863) 294-7062

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180119002403IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34653)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688649122View full group profile
NameSpecialtyState
P S Y C H I A T R YKS
P S Y C H I A T R YMA
Nurse PractitionerFL
Clinical Social WorkerFL
-FL
P S Y C H I A T R YFL
-CT
Clinical Social WorkerFL
-SC
Clinical Social WorkerFL

Reviews

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Frequently asked questions

What number should I use to identify KELLY JO ROSARIO (LCSW) for billing?
Administrative and clinical systems typically use NPI 1215442165 for KELLY JO ROSARIO (LCSW).
Is KELLY JO ROSARIO (LCSW) currently accepting referrals based on NPI status?
Registry metadata lists KELLY JO ROSARIO (LCSW) as active.
What services align with KELLY JO ROSARIO (LCSW)'s listing?
KELLY JO ROSARIO (LCSW)'s public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Can patients visit KELLY JO ROSARIO (LCSW) in New Port Richey, Florida?
For routing, start with New Port Richey, Florida for KELLY JO ROSARIO (LCSW), then verify phone and hours locally.
Can I export KELLY JO ROSARIO (LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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