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KRYSTLE KELLICK LCSW
NPI 1477328417
Social Worker - Clinical in Chicago, IL

Active since November 20, 2023PECOS EnrolledAccepts Medicare Assignment
5108 N WOLCOTT AVE BSMT, CHICAGO, IL 60640(847) 767-7730 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Krystle Kellick Lcsw NPPES

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

KRYSTLE KELLICK LCSW (NPI 1477328417) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.025535) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1477328417
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRYSTLE KELLICKCredential: LCSW
Location Address5108 N WOLCOTT AVE BSMTChicago, IL 60640-8639
Mailing Address5108 N Wolcott AveChicago, IL 60640-8639 · (847) 767-7730
Phone(847) 767-7730
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 20, 2023
NPPES CertifiedNovember 20, 2023
✔ NPI 1477328417 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 · 149.025535
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.
5108 N WOLCOTT AVE BSMT, Chicago, IL 60640
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krystle Kellick 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 ID4183062334
PECOS Enrollment IDI20240405003148
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Krystle Kellick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thriveworks Clinical - Illinois
6.6 mi
Mental Health
333 N MICHIGAN AVE STE 1810
Chicago, IL 60601
  • Reassigned Medicare billing, Illinois enrollment
  • 66 clinicians in this Medicare group
NPI 1164190633 (855) 284-7483
Thrive Counseling LLC
553 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Massachusetts enrollment
  • 250 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 Krystle Kellick's NPI number?

The NPI number for Krystle Kellick is 1477328417. It was assigned to this individual provider in the NPPES registry on November 20, 2023.

Where is Krystle Kellick located?

Krystle Kellick practices at 5108 N Wolcott Ave Bsmt, Chicago, IL 60640. The listed phone number is (847) 767-7730.

What is Krystle Kellick's specialty?

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

Is Krystle Kellick enrolled in Medicare?

Yes. Krystle Kellick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Krystle Kellick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystle Kellick reassigns Medicare benefits to 2 organizations: Thriveworks Clinical - Illinois (Chicago, IL) and Thrive Counseling LLC (Lynchburg, VA). Each 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 Krystle Kellick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krystle Kellick accept?

Health plans from Harvard Pilgrim Health Care and Oscar Health list Krystle Kellick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Krystle Kellick was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.