KELLY ANN SCOTT MSW, LCSW
NPI 1811627722
Social Worker - Clinical in Glen Ellyn, IL

Active since June 14, 2022
910 ROOSEVELT RD, GLEN ELLYN, IL 60137(630) 580-0853 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 10, 2025, Jun 2, 2025 (2 updates tracked since 2025).

About Kelly Ann Scott Msw, Lcsw NPPES

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

KELLY ANN SCOTT MSW, LCSW (NPI 1811627722) is an individual clinical provider in Glen Ellyn, Illinois, licensed in Illinois (149.030339) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1811627722
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY ANN SCOTTCredential: MSW, LCSW
Location Address910 ROOSEVELT RDGlen Ellyn, IL 60137-7829
Mailing Address5506 Riverview DrLisle, IL 60532-2619 · (630) 580-0853
Sole ProprietorNo
Enumeration DateJune 14, 2022
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1811627722 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 · 149.030339
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.

910 ROOSEVELT RD, Glen Ellyn, IL 60137

Other Names 1

Former Name (1)Kelly Ann Custy Msw, Lcsw

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.

Durable Medical Equipment & Medical Supplies
910 ROOSEVELT RD
GLEN ELLYN, IL 60137
Behavior Technician
910 ROOSEVELT RD
GLEN ELLYN, IL 60137
Physical Therapist
910 ROOSEVELT RD
GLEN ELLYN, IL 60137
Speech-Language Pathologist
910 ROOSEVELT RD
GLEN ELLYN, IL 60137
Behavior Analyst
910 ROOSEVELT RD
GLEN ELLYN, IL 60137
Occupational Therapist
910 ROOSEVELT RD
GLEN ELLYN, IL 60137
Behavior Analyst
910 ROOSEVELT RD
GLEN ELLYN, IL 60137
Speech-Language Pathologist
910 ROOSEVELT RD
GLEN ELLYN, IL 60137

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 Scott's NPI number?

The NPI number for Kelly Scott is 1811627722. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Kelly Scott located?

Kelly Scott practices at 910 Roosevelt Rd, Glen Ellyn, IL 60137. The listed phone number is (630) 580-0853.

What is Kelly Scott's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Scott was last updated on October 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.