KELLY ANN RUNNINGEN LSW
NPI 1356222186
Social Worker in Highland Park, IL

Active since September 09, 2025PECOS Enrolled
777 CENTRAL AVE STE 17, HIGHLAND PARK, IL 60035(847) 441-5600 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Ann Runningen Lsw NPPES

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

KELLY ANN RUNNINGEN LSW (NPI 1356222186) is an individual social worker in Highland Park, Illinois, licensed in Illinois (150.117557) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1356222186
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKELLY ANN RUNNINGENCredential: LSW
Location Address777 CENTRAL AVE STE 17Highland Park, IL 60035-3246
Mailing Address777 Central Ave Ste 17Highland Park, IL 60035-3246 · (847) 441-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
NPI 1356222186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in IL · 150.117557
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

777 CENTRAL AVE STE 17, Highland Park, IL 60035

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Ann Runningen Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991298317
PECOS Enrollment IDI20251204000770
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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
777 CENTRAL AVE STE 17
HIGHLAND PARK, IL 60035
Art Therapist
777 CENTRAL AVE STE 17
HIGHLAND PARK, IL 60035
Counselor (Mental Health)
777 CENTRAL AVE STE 17
HIGHLAND PARK, IL 60035
Social Worker (Clinical)
777 CENTRAL AVE STE 17
HIGHLAND PARK, IL 60035
Counselor (Mental Health)
777 CENTRAL AVE STE 17
HIGHLAND PARK, IL 60035
Social Worker (Clinical)
777 CENTRAL AVE STE 17
HIGHLAND PARK, IL 60035
Counselor (Mental Health)
777 CENTRAL AVE STE 17
HIGHLAND PARK, IL 60035
Counselor (Professional)
777 CENTRAL AVE STE 17
HIGHLAND PARK, IL 60035

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 Runningen's NPI number?

The NPI number for Kelly Runningen is 1356222186. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Where is Kelly Runningen located?

Kelly Runningen practices at 777 Central Ave Ste 17, Highland Park, IL 60035. The listed phone number is (847) 441-5600.

What is Kelly Runningen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kelly Runningen enrolled in Medicare?

Yes. Kelly Runningen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Runningen was last updated on September 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.