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

MS. Bethany Kelley, MSW, LCSW

Individual provider Mental Health Counselor · NPI 1821439902

MS. Bethany Kelley, MSW, LCSW is a Clinical Social Worker in Los Angeles, California. Qualified in 2006, 20 years ago. Practices with Ukiah Adventist Hospital, a 135-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Ohio.

Years since qualifying
20
Licensed in
CA, OH
In the registry since
2013
Specialties on file
4
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

4039 Nicolet Ave
Los Angeles, CA 90008-2217
Phone: (747) 403-0461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 940 Marion Williamsport Rd E, Marion, OH 43302-8684 — (740) 382-5781

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 108173 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 108173 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X · Licence I.1500966 (OH)

Record details

NPI number1821439902
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedJuly 17, 2013
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

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 Ukiah Adventist Hospital — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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