Individual provider Active NPI

Abigail Kilbride

  • Clinical Social Worker
  • Pekin, IL
National Provider Identifier
1174107494
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149027983 Issued in IL
Practice address
3248 Vandever Ave Ste a
Pekin, IL 61554-6277
Phone
(309) 347-5522
NPI assigned
May 12, 2021
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 149027983 IL Primary

Addresses

Primary practice location

3248 Vandever Ave Ste a
Pekin, IL 61554-6277

Mailing address

3248 Vandever Ave Ste a
Pekin, IL 61554-6277
Phone (309) 347-5522

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324000122 IL Practitioner - Clinical Social Worker 3072035757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Practice addresses (Care Compare)

3248 Vandever Ave
Pekin, IL 61554-6257
Phone (309) 347-5522

850 E 2ND St
El Paso, IL 61738-1309
Phone (309) 527-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tazwood Mental Health Center, Inc. Mental Health CurrentSince Jan 18, 2025 Accepting new patients
Tazwood Mental Health Center, Inc. CurrentSince Jan 18, 2025 Accepting new patients

Locations

3248 Vandever Ave
Pekin, IL 61554
Phone (309) 347-5522

3248 Vandever Ave
Ste A
Pekin, IL 61554
Phone (309) 347-5522

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1174107494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 VANDEVER AVE STE A",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546277",
            "telephone_number": "309-347-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3248 VANDEVER AVE STE A",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546277",
            "telephone_number": "309-347-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBRIDE",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149027983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

Verify at the official NPI Registry.