Rhonda K Kelloway, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149011371 Issued in IL

Practice address

800 Roosevelt Rd Ste C206
Glen Ellyn, IL 60137-5851

Phone

(630) 423-5933

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Life Care Wellness, Inc.Group PAC ID 2860791449, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life Care Wellness, Inc.

  • Professional Counselor
  • Glen Ellyn, IL
  • NPI 1952767733

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1033257332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 SWIFT RD UNIT 2F",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601372403",
            "telephone_number": "630-569-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROOSEVELT RD STE C206",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375851",
            "telephone_number": "630-423-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOWAY",
        "first_name": "RHONDA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0002232980",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann B Karch, M.D.
• Karen T. Watkins & Associates Inc.
• Yasir Kazmi, MD
• Susan Elizabeth Kelenyi, D.C.
• Marissa Elaine Kelley, RD, CDCES, NBC-HWC
• Catherine Ann Kelly, LPC, ATR
• James Michael Kelly, O.D.
• Brenda Kendziera, LPC
• Robert Joseph Kennedy
• Danielle Ann Kerger, D.D.S.

• Clinical Social Worker in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.