KELLY RENO (LCSW) – Clinical Social Worker, NPI 1164563698

KELLY RENO (LCSW) is a healthcare provider. based in Pottsville, Pennsylvania. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CW015209 (PA). The NPI Number for KELLY RENO (LCSW) is 1164563698

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KELLY RENO (LCSW)
NPI
1164563698
Phone
(570) 622-1025
Address
454 N CLAUDE A LORD BLVD
Enumeration Date
9 February 2007
Last Update Date
29 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5706221025
Graduation Year
2002 (24 years ago)
PAC ID
8628170008
Group Practice PAC ID
0547362923
Professional Enrollment ID
I20070305000235
Address ID
PA179013000PO115XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,438 CLINICAL SOCIAL WORKER in PA

Provider Addresses for KELLY RENO (LCSW)

  • 454 N CLAUDE A LORD BLVD

    POTTSVILLE, PA 179012706

    Phone: (570) 622-1025

    Fax: (570) 628-4344

    Type: Mailing

  • 115 SOUTH CENTRE STREET LOWER LEVEL

    POTTSVILLE, PA 179012706

    Phone: (570) 622-1025

    Fax: (570) 628-4344

    Type: Location

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: 2007-03-05

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
I20070305000235IClinical Social WorkerPATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour25425$0
View full utilization report →

Insurance plans in this area (ZIP 17901)

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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: 0547362923View full group profile
NameSpecialtyState
Mental Health CounselorPA
-PA
Mental Health CounselorPA
Clinical Social WorkerPA
Clinical PsychologistPA
-PA
Mental Health CounselorPA
Mental Health CounselorPA
Mental Health CounselorPA

Reviews

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Frequently asked questions

Does KELLY RENO (LCSW) have a public NPI I can cite?
Public records show KELLY RENO (LCSW) under NPI 1164563698.
Should I treat KELLY RENO (LCSW) as an active provider?
Patients and plans typically see KELLY RENO (LCSW) as active in the national extract.
How should patients interpret KELLY RENO (LCSW)'s specialty?
The extract shows Clinical Social Worker for KELLY RENO (LCSW). Clinical services aligned with this taxonomy classification.
Is KELLY RENO (LCSW) tied to Pottsville, Pennsylvania?
If you are local to Pottsville, Pennsylvania, KELLY RENO (LCSW) may be relevant to your search.
Why is information missing for KELLY RENO (LCSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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