Christina Marie Kelley, DSW, LCSW, LISAC is a medicare enrolled "Social Worker - Clinical" provider in Payson, Arizona. Her current practice location is
309 S Stone Creek Cir, Payson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(805) 689-5542.
Christina Marie Kelley is licensed to practice in Arizona (license number 21794) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215369483.
Healthcare Provider's Profile
Full Name | Christina Marie Kelley |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 309 S Stone Creek Cir, Payson, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215369483
- Provider Enumeration Date: 07/30/2013
- Last Update Date: 08/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739528746
- Enrollment ID: I20240423002500
Medical Identifiers
Medical identifiers for Christina Marie Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215369483 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 118526 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 21794 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christina Marie Kelley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Christina Marie Kelley, DSW, LCSW, LISAC 11201 N Tatum Blvd Ste 300, Phoenix, AZ 85028-6039 Ph: (805) 689-5542 | Christina Marie Kelley, DSW, LCSW, LISAC 309 S Stone Creek Cir, Payson, AZ 85541-6292 Ph: (805) 689-5542 |
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