Individual provider Active NPI

Toni Kelly, LCSW

  • Clinical Social Worker
  • Madison, TN
National Provider Identifier
1003571464
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7882 Issued in TN
Practice address
1037 E Old Hickory Blvd
Madison, TN 37115-4160
Phone
(615) 625-2211
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7882 TN Primary

Addresses

Primary practice location

1037 E Old Hickory Blvd
Madison, TN 37115-4160

Mailing address

4157 Grapevine Loop
Smyrna, TN 37167-1178
Phone (615) 522-1235

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tonikellycounseling.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211214002784 TN Practitioner - Clinical Social Worker 9830589415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Step Up Care of Tennessee LLCGroup PAC ID 5395074728, 35 clinicians

Practice addresses (Care Compare)

1250 Farrow Rd
Memphis, TN 38116-7116
Phone (718) 298-4375

5505 Edmondson Pike
Suite 102
Nashville, TN 37211-5869
Phone (615) 908-6110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7882TNMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care of Tennessee LLC CurrentSince Jun 1, 2025 Accepting new patients
Toni Kelly Counseling & Consulting Clinical CurrentSince Nov 15, 2021 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1037 E Old Hickory Blvd
Madison, TN 37115
Phone (615) 865-3944

1250 Farrow Rd
Memphis, TN 38116
Phone (901) 305-0878

5505 Edmonson Pike
Ste 102
Nashville, TN 37211
Phone (615) 331-1473

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11141/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1003571464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4157 GRAPEVINE LOOP",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371671178",
            "telephone_number": "615-522-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 E OLD HICKORY BLVD",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154160",
            "telephone_number": "615-625-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "TONI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "7882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tonikellycounseling.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "1037 E Old Hickory Blvd",
            "city": "Madison",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371154160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.