Lisa Danielle Kelley, LCSW in Suwanee, GA - Medicare Social Worker Provider

Lisa Danielle Kelley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Suwanee, Georgia. Her current practice location is 5400 Laurel Springs Pkwy, Suite 1101, Suwanee, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 908-5543.

Lisa Danielle Kelley is licensed to practice in Georgia (license number 003314) 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 1750454328.

Contact Information

	Lisa Danielle Kelley, LCSW
	5400 Laurel Springs Pkwy, Suite 1101, Suwanee, GA 30024-6056
	(678) 908-5543
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Danielle Kelley
Gender	Female
Speciality	Social Worker - Clinical
Location	5400 Laurel Springs Pkwy, Suwanee, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750454328
Provider Enumeration Date: 11/15/2006
Last Update Date: 04/29/2008

Medicare PECOS Information:

PECOS PAC ID: 3971971540
Enrollment ID: I20221202000113

Medical Identifiers

Medical identifiers for Lisa Danielle Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750454328	NPI	-	NPPES
220143218A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	003314 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa Danielle Kelley allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120504000149

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. Lisa Danielle 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
Lisa Danielle Kelley, LCSW 5400 Laurel Springs Pkwy, Suite 1101, Suwanee, GA 30024-6056 Ph: (678) 908-5543	Lisa Danielle Kelley, LCSW 5400 Laurel Springs Pkwy, Suite 1101, Suwanee, GA 30024-6056 Ph: (678) 908-5543

Reviews and Comments

Social Worker in Suwanee, GA

Ms. Dawna Wydra Drury, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5400 Laurel Springs Pkwy, Ste. 1101, Suwanee, GA 30024 Phone: 470-239-3651
Santo Presti Cricchio, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4411 Suwanee Dam Rd Ste 720, Suwanee, GA 30024 Phone: 678-993-8494 Fax: 678-804-1834
Ms. Hope Mullins Godleski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Gilbert Cir, Suwanee, GA 30024 Phone: 678-925-4101
Chaniqua White, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4021 Mcginnis Ferry Rd Apt 617, Suwanee, GA 30024 Phone: 770-543-9942
Elizabeth Bonet, LCSW, CEAP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5940 Masters Club Dr, Suwanee, GA 30024 Phone: 404-610-4333
Rita Grayson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5000 Research Ct, Suite 725, Suwanee, GA 30024 Phone: 678-557-4144 Fax: 770-840-0162
Mrs. Tina Marie Niziurski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3660 Lake Pass Ln, Suwanee, GA 30024 Phone: 770-315-5401

Lisa Danielle Kelley, LCSW - Medicare Clinical Social Worker in Suwanee, GA