Toni Kelly, LCSW - Medicare Clinical Social Worker in Madison, TN

Toni Kelly, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Madison, Tennessee. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 1037 E Old Hickory Blvd, Madison, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 625-2211.

Toni Kelly is licensed to practice in Tennessee (license number 7882) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003571464.

Contact Information

Toni Kelly, LCSW
1037 E Old Hickory Blvd,
Madison, TN 37115-4160
(615) 625-2211
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameToni Kelly
GenderFemale
SpecialityClinical Social Worker
Experience10 Years
Location1037 E Old Hickory Blvd, Madison, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Toni Kelly graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1003571464
  • Provider Enumeration Date: 11/01/2021
  • Last Update Date: 11/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9830589415
  • Enrollment ID: I20211214002784

Medical Identifiers

Medical identifiers for Toni Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003571464NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 7882 (Tennessee)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. Toni Kelly allows following entities to bill medicare on her behalf.
Entity NameToni Kelly Counseling & Consulting
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093470452
PECOS PAC ID: 8921498502
Enrollment ID: O20211214002737

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. Toni Kelly 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 AddressPractice Location Address
Toni Kelly, LCSW
4157 Grapevine Loop,
Smyrna, TN 37167-1178

Ph: (615) 522-1235
Toni Kelly, LCSW
1037 E Old Hickory Blvd,
Madison, TN 37115-4160

Ph: (615) 625-2211

Reviews and Comments


Social Worker in Madison, TN

Mrs. Pamela Frizzell Hays, L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 620 Gallatin Pike S, Madison, TN 37115
Phone: 615-460-4300    
Sarah Swensen, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 620 Gallatin Pike S, Madison, TN 37115
Phone: 888-291-4357    
Ms. Monica L Gretter, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 620 Gallatin Pike S, Madison, TN 37115
Phone: 615-460-4348    Fax: 615-460-4302
Ms. Connie G Nelson, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 620 Gallatin Pike S, Madison, TN 37115
Phone: 615-460-4300    Fax: 615-460-4302
Mr. Steven Thomas Davidson, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 333 Gallatin Pike S, Suite 13, Madison, TN 37115
Phone: 615-516-9806    Fax: 615-227-3152
Dr. Carol Marie Boone, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1160 Gallatin Pike S, Suite 214, Madison, TN 37115
Phone: 615-851-1527    Fax: 615-727-6291

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.