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KATHLEEN DIANE ELY LCSW
NPI 1104055714
Social Worker - Clinical in Sugar Grove, IL

Active since July 06, 2009PECOS Enrolled
172 BROOKHAVEN COURT, SUGAR GROVE, IL 60554(630) 466-0019(630) 809-5062 Get Directions Write a Review

NPPES record last updated: September 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Diane Ely Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN DIANE ELY LCSW (NPI 1104055714) is an individual clinical provider in Sugar Grove, Illinois, licensed in Illinois (149.012496) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104055714
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHLEEN DIANE ELYCredential: LCSW
Location Address172 BROOKHAVEN COURTSugar Grove, IL 60554
Mailing Address172 Brookhaven CourtSugar Grove, IL 60554 · (630) 466-0019 · Fax (630) 809-5062
Phone(630) 466-0019
Fax(630) 809-5062
Sole ProprietorYes
Enumeration DateJuly 6, 2009
Last NPPES UpdateSeptember 23, 2009
✔ NPI 1104055714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in IL · 149.012496✔ Licensed in IL · 149012496
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
172 BROOKHAVEN COURT, Sugar Grove, IL 60554
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Diane Ely Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60554 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Ely's NPI number?

The NPI number for Kathleen Ely is 1104055714. It was assigned to this individual provider in the NPPES registry on July 6, 2009.

Where is Kathleen Ely located?

Kathleen Ely practices at 172 Brookhaven Court, Sugar Grove, IL 60554. The listed phone number is (630) 466-0019.

What is Kathleen Ely's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kathleen Ely enrolled in Medicare?

Yes. Kathleen Ely is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Ely was last updated on September 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.