Kelly Belczyk LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KELLY BELCZYK LCSW LLC

Practice address

165 NE 10TH St
Bend, OR 97701-5142

Phone

(541) 728-3029

NPI assigned

Feb 13, 2025

Organization subpart

No

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

Authorized official

Name

Kelly Belczyk, LCSWNPI 1548592298

Title

Owner

Phone

(541) 728-3029

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Ann Belczyk, LCSW

  • Clinical Social Worker
  • Bend, OR
  • NPI 1548592298
  NPD Authorized official

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1265237432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 NE 10TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977015142",
            "telephone_number": "541-728-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 NE 10TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977015142",
            "telephone_number": "541-728-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY BELCZYK LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "BELCZYK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-728-3029",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Nicole Kelley
• Thomas Christopher Kelley, DO
• Lezlie Neusteter Kellison, LCSW
• Ann Elisabeth Kellogg, D.O.
• Edward Kellogg
• Carol Lee Kelly
• Casie Kelly, LMT
• Chelsea Catherine Kelly, CRM
• Jandi Kelly, MS, PHD
• Jennifer Marie Kelly, DPT

• Clinical Social Worker in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.