MRS. KELLY ANN KENDALL LCSW
NPI 1396041976
Social Worker - Clinical in Springfield, IL

Q: What is Kelly Kendall's NPI number?

The NPI number for Kelly Kendall is 1396041976. It was assigned to this individual provider in the NPPES registry on January 31, 2011.

Q: What is Kelly Kendall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Kendall was last updated on September 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 31, 2011PECOS EnrolledAccepts Medicare Assignment

319 E MADISON ST FL 3, SPRINGFIELD, IL 62701(217) 545-8000(217) 545-2275 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Kelly Ann Kendall Lcsw NPPES

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

MRS. KELLY ANN KENDALL LCSW (NPI 1396041976) is an individual clinical provider in Springfield, Illinois, licensed in Illinois (149011955) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1396041976

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. KELLY ANN KENDALLCredential: LCSW

Location Address319 E MADISON ST FL 3Springfield, IL 62701-1035

Mailing AddressPo Box 19642Springfield, IL 62794-9642 · (217) 545-8000 · Fax (217) 545-2275

Phone(217) 545-8000

Fax(217) 545-2275

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateJanuary 31, 2011

Last NPPES UpdateSeptember 26, 2018

✔ NPI 1396041976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149011955

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.

319 E MADISON ST FL 3, Springfield, IL 62701

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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 and accepts Medicare assignment

Mrs. Kelly Ann Kendall Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264610179

PECOS Enrollment IDI20110623000720

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

132 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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 $54.80 – $168.44

Typical copayment $0.00 (range $13.70 – $42.11)

Most-billed visit code NA

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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Other Providers at the Same Location NPPES 20

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

MADELEINE ELIZABETH BRINDLE MD

Internal Medicine