Active NPIIndividual provider

Kelly A Belczyk, LCSW

Social Worker, Clinical in Bend, Oregon

NPI Number1548592298
Practice location
1128 NW Harriman St, Bend, OR 97701-1947
Fax
541-330-4642
Last updated
February 13, 2025

Kelly A Belczyk, LCSW is a Social Worker, Clinical based in Bend, OR. Kelly A Belczyk, LCSW holds the professional credentials of LCSW. The NPI number for Kelly A Belczyk, LCSW is 1548592298 and holds license No. L5440 (OR). The current practice location address is 1128 NW Harriman St, Bend, OR 97701-1947 and the office can be reached by phone at 541-330-4637 and by fax at 541-330-4642. The NPI was assigned on February 5, 2010 and the record was last updated in NPPES on February 13, 2025.

●Provider Profile Details

NPI Number
1548592298
Provider Name
Kelly Ann Belczyk
Credential
LCSW
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Enumeration Date
February 5, 2010
Last Update Date
February 13, 2025
Certification Date
February 13, 2025
NPI Status
Active

◉Business Practice Location Address

Address
1128 NW Harriman St
Bend, OR 97701-1947
City
Bend
State
Oregon
ZIP
97701-1947
Country
US
Phone Number
541-330-4637
Fax Number
541-330-4642

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✉Business Mailing Address

Address
165 NE 10TH St
Bend, OR 97701-5142
City
Bend
State
OR
ZIP
97701-5142
Phone Number
541-317-3173
Fax Number
541-330-4642

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Mental Health101YM0800XNo——
Social Worker, Clinical1041C0700XYesL5440OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Kelly A Belczyk, LCSW?

The NPI number of Kelly A Belczyk, LCSW is 1548592298. It was assigned on February 5, 2010 and is currently active in the NPPES registry.

What is the specialty of Kelly A Belczyk, LCSW?

Kelly A Belczyk, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X) and holds license No. L5440 (OR).

Where does Kelly A Belczyk, LCSW practice?

The practice location is 1128 NW Harriman St, Bend, OR 97701-1947. The office can be reached at 541-330-4637 (phone) or 541-330-4642 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548592298 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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