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KELLY RANDALL LSW
NPI 1982339479
Social Worker in Chicago, IL

Active since July 19, 2022
1409 W CARROLL AVE, CHICAGO, IL 60607(312) 733-0883 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Oct 13, 2023, Jul 19, 2022 (2 updates tracked since 2022).

About Kelly Randall Lsw NPPES

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

KELLY RANDALL LSW (NPI 1982339479) is an individual social worker in Chicago, Illinois, licensed in Illinois (150.111855) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1982339479
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKELLY RANDALLCredential: LSW
Location Address1409 W CARROLL AVEChicago, IL 60607-1105
Mailing Address1409 W Carroll AveChicago, IL 60607-1105
Phone(312) 733-0883
Sole ProprietorNo
Enumeration DateJuly 19, 2022
Last NPPES UpdateOctober 13, 20232 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
✔ NPI 1982339479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 150.111855
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License 2331484 (IL)
1409 W CARROLL AVE, Chicago, IL 60607
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Other Names 1

Former Name (1)Kelly Kolzow

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.

LIBERTY RUTH ABEGGLEN
Behavior Technician
1409 W CARROLL AVE
CHICAGO, IL 60607
Cook County (312) 733-0883
SAMANTHA MORGAN FRIEDBERG
Speech-Language Pathologist
1409 W CARROLL AVE
CHICAGO, IL 60607
Cook County (312) 733-0883
REGINA GARZA ELIZONDO
Behavior Technician
1409 W CARROLL AVE
CHICAGO, IL 60607
Cook County (312) 733-0883
BRIANNA PICKEL
Behavior Analyst
1409 W CARROLL AVE
CHICAGO, IL 60607
Cook County (312) 733-0883
JENNA C GERBER
Speech-Language Pathologist
1409 W CARROLL AVE
CHICAGO, IL 60607
Cook County (312) 773-0883
MRS. TAYLOR M BARTEE PTA
Physical Therapy Assistant
1409 W CARROLL AVE
CHICAGO, IL 60607
Cook County (312) 733-0883
TOMIKA STUCKEY
Behavior Technician
1409 W CARROLL AVE
CHICAGO, IL 60607
Cook County (312) 733-0883
NIKYRA JAMES MSW, PEL, LCSW
Social Worker (Clinical)
1409 W CARROLL AVE
CHICAGO, IL 60607
Cook County (312) 243-8487

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 Randall's NPI number?

The NPI number for Kelly Randall is 1982339479. It was assigned to this individual provider in the NPPES registry on July 19, 2022. The provider is also known as Kelly Kolzow.

Where is Kelly Randall located?

Kelly Randall practices at 1409 W Carroll Ave, Chicago, IL 60607. The listed phone number is (312) 733-0883.

What is Kelly Randall's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kelly Randall was last updated on October 13, 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.