Jennifer Ann Kell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004489 Issued in VA

Practice address

9513 Hull Street Rd Ste a
North Chesterfield, VA 23236-1495

Phone

(804) 608-9389

Fax

(804) 763-3453

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Resilient Life Center, LLC

  • Community/Behavioral Health Agency
  • North Chesterfield, VA
  • NPI 1407679020
  Medicare reassignment NPD Authorized official
• Crossroads Services Board

  • Community/Behavioral Health Agency
  • Farmville, VA
  • NPI 1528091063

  Clinical

  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1497869598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4504",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231120010",
            "telephone_number": "804-317-5710",
            "fax_number": "804-763-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9513 HULL STREET RD STE A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361495",
            "telephone_number": "804-608-9389",
            "fax_number": "804-763-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELL",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010210607",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney Scott Keel, M.D. MPH
• Susan J Keen, RN
• Andrew Dylan Keeney, CRNA
• Glenda H Kees
• Malcolm Keeton, LPC
• Madeline Therese Kellerman, OD
• Claire P Kelley, PSYD
• Margaret Gravely Kellogg, LPC
• Angela Marie Kelly, OTR/L
• Ashley Marie Kelly, MSN-FNP

• Clinical Social Worker in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.