KELLEN M SMITH
NPI 1306281324
Social Worker - Clinical in Fox Lake, IL

Active since May 03, 2013
94 EAGLE POINT RD, FOX LAKE, IL 60020(815) 528-8965 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 5, 2024, Nov 22, 2023 (2 updates tracked since 2023).

About Kellen M Smith NPPES

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

KELLEN M SMITH (NPI 1306281324) is an individual clinical provider in Fox Lake, Illinois, licensed in Illinois (150113514) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1306281324
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLEN M SMITH
Location Address94 EAGLE POINT RDFox Lake, IL 60020-1764
Mailing Address94 Eagle Point RdFox Lake, IL 60020-1764 · (815) 528-8965
Sole ProprietorNo
Enumeration DateMay 3, 2013
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
NPI 1306281324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 150113514
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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 30074 (IL)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 35098 (IL)
94 EAGLE POINT RD, Fox Lake, IL 60020

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 Kellen Smith's NPI number?

The NPI number for Kellen Smith is 1306281324. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Where is Kellen Smith located?

Kellen Smith practices at 94 Eagle Point Rd, Fox Lake, IL 60020. The listed phone number is (815) 528-8965.

What is Kellen Smith's specialty?

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

When was this NPI record last updated?

The NPPES record for Kellen Smith was last updated on November 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.