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

Active since November 20, 2023PECOS Enrolled
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: August 02, 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
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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 (PECOS)

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

PECOS PAC ID4183062334
PECOS Enrollment IDI20260608000515
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.

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 enrollment system.

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.