MS. TERESA MARY KELLY – Clinical Social Worker, NPI 1497084081

MS. TERESA MARY KELLY is a healthcare provider. based in Westborough, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 215999 (MA). The NPI Number for MS. TERESA MARY KELLY is 1497084081

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MS. TERESA MARY KELLY
NPI
1497084081
Phone
(508) 475-9110
Address
24 LYMAN ST
Enumeration Date
10 December 2009
Last Update Date
23 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5084759110
Graduation Year
2009 (17 years ago)
PAC ID
3476877614
Group Practice PAC ID
3072829332
Professional Enrollment ID
I20150119000442
Address ID
MA015811483WE24XXXSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for MS. TERESA MARY KELLY

  • 24, Lyman Street, Westborough, Worcester County, Massachusetts, 01581, United States

    WESTBOROUGH, MA 015811482

    Phone: (508) 475-9110

    Fax: (508) 422-9730

    Type: Location

  • 30, Stark Street, Ward 3, Nashua, Hillsborough County, New Hampshire, 03064, United States

    NASHUA, NH 030646223

    Phone: (774) 258-0800

    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: 2015-01-19

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
I20150119000442IClinical Social WorkerMATBD

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 01581)

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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: 3072829332View full group profile
NameSpecialtyState
Clinical PsychologistMA
Clinical PsychologistMA
Clinical Social WorkerMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

Does MS. TERESA MARY KELLY share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. TERESA MARY KELLY uses 1497084081.
Does CMS list MS. TERESA MARY KELLY as active?
Yes — MS. TERESA MARY KELLY is active in the NPI listing used on this page.
What taxonomy line describes MS. TERESA MARY KELLY?
For research purposes, treat MS. TERESA MARY KELLY as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Does MS. TERESA MARY KELLY list a practice location?
Patients near Westborough, Massachusetts may find MS. TERESA MARY KELLY in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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