KELLY VIERRA, LCSW
NPI 1326696154
Social Worker - Clinical in Chicago, IL

Active since August 26, 2019
4043 N RAVENSWOOD AVE STE 306D, CHICAGO, IL 60613(773) 807-8474 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 14, 2022, Aug 26, 2019 (2 updates tracked since 2019).

About Kelly Vierra, Lcsw NPPES

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

KELLY VIERRA, LCSW (NPI 1326696154) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since August 2019. The organization lists Kelly Vierra, Clinical Therapist, as its authorized official.

NPPES Registry Identity

NPI1326696154
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKELLY VIERRA, LCSW, LLC
Location Address4043 N RAVENSWOOD AVE STE 306DChicago, IL 60613-5683
Mailing Address4043 N Ravenswood Ave Ste 306dChicago, IL 60613-5683 · (773) 807-8474
Organization SubpartNo
Authorized OfficialKelly VierraClinical Therapist · (773) 807-8474
Enumeration DateAugust 26, 2019
Last NPPES UpdateApril 14, 20222 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
✔ NPI 1326696154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
4043 N RAVENSWOOD AVE STE 306D, Chicago, IL 60613

Other Names 1

Doing Business AsKelly Vierra, Lcsw

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Vierra, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kelly Vierra, Lcsw, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1609282227
4043 N RAVENSWOOD AVE STE 306D
Chicago, IL 60613
(773) 807-8474
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kelly Vierra, Lcsw, LLC's NPI number?

The NPI number for Kelly Vierra, Lcsw, LLC is 1326696154. It was assigned to this organization in the NPPES registry on August 26, 2019. The provider is doing business as Kelly Vierra, Lcsw.

Where is Kelly Vierra, Lcsw, LLC located?

Kelly Vierra, Lcsw, LLC is located at 4043 N Ravenswood Ave Ste 306D, Chicago, IL 60613. The listed phone number is (773) 807-8474.

What is Kelly Vierra, Lcsw, LLC's specialty?

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

Is Kelly Vierra, Lcsw, LLC enrolled in Medicare?

Yes. Kelly Vierra, Lcsw, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelly Vierra, Lcsw, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kelly Vierra, Lcsw, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Vierra, Lcsw, LLC was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.