1. Home
  2. Directory
  3. Illinois
  4. Evanston
  5. Social Worker
  6. NPI Profile

KYLIE MARIE KOTAK LCSW
NPI 1497495246
Social Worker - Clinical in Evanston, IL

Active since March 30, 2022PECOS EnrolledAccepts Medicare Assignment
1007 CHURCH ST, EVANSTON, IL 60201(847) 440-5760 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Sep 12, 2024 (2 updates tracked since 2024).

About Kylie Marie Kotak Lcsw NPPES

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

KYLIE MARIE KOTAK LCSW (NPI 1497495246) is an individual clinical provider in Evanston, Illinois, licensed in Illinois (149.027729) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497495246
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKYLIE MARIE KOTAKCredential: LCSW
Location Address1007 CHURCH STEvanston, IL 60201-3624
Mailing Address1007 Church StEvanston, IL 60201-3624 · (847) 440-5760
Phone(847) 440-5760
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 30, 2022
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1497495246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.027729
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 149.027729 (IL)
1007 CHURCH ST, Evanston, IL 60201
Open in Google Maps ↗

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

Kylie Marie Kotak 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 ID3375077290
PECOS Enrollment IDI20241114000428
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 60201 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.

Other Providers at the Same Location NPPES 12

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

SELF DESIGN, INC
Social Worker (Clinical)
1007 CHURCH ST, SUITE 515
EVANSTON, IL 60201
Cook County (773) 818-6800
MR. ALAN WERTHEIMER LCSW
Social Worker (Clinical)
1007 CHURCH ST
EVANSTON, IL 60201
Cook County (847) 848-0474
SAIRA SHERVANI MD
Internal Medicine
1007 CHURCH ST
EVANSTON, IL 60201
Cook County (847) 475-4555
ERICA ESTES WATSON M.A., LPC
Counselor (Professional)
1007 CHURCH ST, SUITE 302
EVANSTON, IL 60201
Cook County (847) 492-1938
JUDY ORBACH LCSW
Social Worker (Clinical)
1007 CHURCH ST
EVANSTON, IL 60201
Cook County (312) 296-4562
JENNIFER ANN RUZUMNA PH.D.
Psychologist (Clinical)
1007 CHURCH ST, SUITE 515
EVANSTON, IL 60201
Cook County (312) 307-9677
FARRAH WALKER
Marriage & Family Therapist
1007 CHURCH ST, SUITE 302
EVANSTON, IL 60201
Cook County (847) 492-1938
TRAVIS ANDREW BOOTH MA, LCPC
Counselor (Professional)
1007 CHURCH ST, SUITE 302
EVANSTON, IL 60201
Cook County (847) 492-1938

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 Kylie Kotak's NPI number?

The NPI number for Kylie Kotak is 1497495246. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Kylie Kotak located?

Kylie Kotak practices at 1007 Church St, Evanston, IL 60201. The listed phone number is (847) 440-5760.

What is Kylie Kotak's specialty?

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

Is Kylie Kotak enrolled in Medicare?

Yes. Kylie Kotak 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.

When was this NPI record last updated?

The NPPES record for Kylie Kotak was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.