Justine Kelley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.029211 Issued in IL

Practice address

1755 Park St
Naperville, IL 60563-4861

Phone

(847) 486-4140

NPI assigned

Jul 19, 2022

Last updated

Apr 25, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1063147536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 N WINTHROP AVE APT 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 PARK ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634861",
            "telephone_number": "847-486-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JUSTINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.029211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Keene, PSY.D.
• Suzanne W. Keenon, M.A., LPC
• Madeline M Kelch, DNP, FNP-C
• Vanessa Kell Jankowski, LCSW
• Shawna Kelley-Swanson, NCC, LPC
• Debra Kelly Gomez, PH.D.
• Kelly M. Flanagan, P.C.
• Aaron R Kelly, O.D.
• Annabella C. Kelly, APN-CNP
• Brenna C. Kelly

• Clinical Social Worker in Naperville, IL
• Providers in Naperville, 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 Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.