Active NPI
Kelly Ann Kalt, MSW, LCSW
- Clinical Social Worker
- Rockford, IL
National Provider Identifier
1063513513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.010705
- Practice address
- 1639 N Alpine Rd Ste 403
Rockford, IL 61107-1440 - Phone
- (815) 229-7102
- Fax
- (815) 229-7108
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.010705 | IL | Primary |
Addresses
Primary practice location
1639 N Alpine Rd Ste 403
Rockford, IL 61107-1440
Mailing address
1639 N Alpine Rd Ste 403
Rockford, IL 61107-1440
Phone (815) 229-7102
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506515 | Other | VALUEOPTIONS | |
| 7233792 | Other | AETNA | |
| IL1715 | Other | MEDICARE PTAN | |
| 830010000 | Other | IL | MAGELLAN |
| 0010132116 | Other | BC/BS ID | |
| 2158705 | Other | COMPSYCH |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1639 N Alpine Rd
Suite 403
Rockford, IL 61107-1440
Phone (815) 229-7102
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.010705 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly a. Kalt, MSW, LCSW, Inc. | Clinical | Current | Accepting new patients |
| Laura L Allman LCSW LTD | Clinical | Past | Accepting new patients |
Locations
1639 N Alpine Rd
Ste 403
Rockford, IL 61107
Phone (608) 492-1992
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Rockford, IL
- NPI 1801114871
-
- Clinical Social Worker
- Rockford, IL
- NPI 1275712077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1063513513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1639 N ALPINE RD STE 403",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611071440",
"telephone_number": "815-229-7102",
"fax_number": "815-229-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1639 N ALPINE RD STE 403",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611071440",
"telephone_number": "815-229-7102",
"fax_number": "815-229-7108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALT",
"first_name": "KELLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.010705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "506515",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7233792",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IL1715",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "830010000",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS ID",
"identifier": "0010132116",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "2158705",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.