Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Ann Belczyk, LCSW

Individual provider Mental Health Counselor · NPI 1548592298

Kelly Ann Belczyk, LCSW is a Clinical Social Worker in Bend, Oregon. Qualified in 2006, 20 years ago. Practices with Deschutes County Oregon, a 57-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
20
Licensed in
OR
In the registry since
2010
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1128 NW Harriman St
Bend, OR 97701-1947
Phone: (541) 330-4637
Fax: (541) 330-4642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 165 Ne 10th St, Bend, OR 97701-5142 — (541) 728-3029

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L5440 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1548592298
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 5, 2010
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Deschutes County Oregon — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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