KELLY R HADLEY (LICSW) – Clinical Social Worker, NPI 1023236544

KELLY R HADLEY (LICSW) is a healthcare provider. based in Silverdale, Washington. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. LW00005445 (WA). The NPI Number for KELLY R HADLEY (LICSW) is 1023236544

Main info

Female
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
KELLY R HADLEY (LICSW)
NPI
1023236544
Phone
(360) 698-8980
Address
3501 NW LOWELL ST
Enumeration Date
22 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
360698898011
Graduation Year
1981 (45 years ago)
PAC ID
3678469400
Professional Enrollment ID
I20040226001053
Address ID
WA983837851SI3501XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,396 CLINICAL SOCIAL WORKER in WA

Provider Addresses for KELLY R HADLEY (LICSW)

  • 3501 NW LOWELL ST

    SUITE 201

    SILVERDALE, WA 983837851

    Phone: (360) 698-8980

    Fax: (360) 698-8950

    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: 2004-02-26

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
I20040226001053IClinical Social WorkerWATBD

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 hour8115$0
View full utilization report →

Insurance plans in this area (ZIP 98383)

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Reviews

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Frequently asked questions

Can I cross-check KELLY R HADLEY (LICSW) using NPI 1023236544?
NPI 1023236544 belongs to KELLY R HADLEY (LICSW); compare other details if you need extra assurance.
Is KELLY R HADLEY (LICSW) still an active registrant?
KELLY R HADLEY (LICSW) carries an active NPI according to the public dataset.
What area of care is associated with KELLY R HADLEY (LICSW)?
KELLY R HADLEY (LICSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KELLY R HADLEY (LICSW)?
Travel planning: use Silverdale, Washington as the reference point for KELLY R HADLEY (LICSW), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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