REBECCA A KELLY (LCSW) – Clinical Social Worker, NPI 1356098867

REBECCA A KELLY (LCSW) is a healthcare provider. based in Abingdon, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 0904013609 (VA). The NPI Number for REBECCA A KELLY (LCSW) is 1356098867

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA A KELLY (LCSW)
NPI
1356098867
Phone
(276) 525-1550
Address
610 CAMPUS DR
Enumeration Date
4 March 2022
Last Update Date
4 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2765251587
Graduation Year
2019 (7 years ago)
PAC ID
5890182083
Group Practice PAC ID
8123014966
Professional Enrollment ID
I20220418000485
Address ID
VA242102589AB610XXDRXX300

Contacts

Main Contact
www.highlandscsb.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

2,023 CLINICAL SOCIAL WORKER in VA

Provider Addresses for REBECCA A KELLY (LCSW)

  • 610 CAMPUS DR

    ABINGDON, VA 242102589

    Phone: (276) 525-1550

    Fax: (276) 525-1609

    Mailing address matches the actual address.

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: 2022-04-18

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
I20220418000485IClinical Social WorkerVATBD

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 24210)

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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: 8123014966View full group profile
NameSpecialtyState
Mental Health CounselorVA
Nurse PractitionerVA
Mental Health CounselorVA
Mental Health CounselorVA
Mental Health CounselorVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Mental Health CounselorVA
Clinical Social WorkerVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

What number should I use to identify REBECCA A KELLY (LCSW) for billing?
Administrative and clinical systems typically use NPI 1356098867 for REBECCA A KELLY (LCSW).
Is REBECCA A KELLY (LCSW)'s NPI status active today?
Active status means REBECCA A KELLY (LCSW)'s NPI record is not deactivated in the public file.
Which specialty label fits REBECCA A KELLY (LCSW)?
NPPES ties REBECCA A KELLY (LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to REBECCA A KELLY (LCSW)?
The directory associates REBECCA A KELLY (LCSW) with Abingdon, Virginia. Check all listed addresses for suites or satellite offices.
Who maintains REBECCA A KELLY (LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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