Kellie Cargal, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34011284A Issued in IN

Practice address

1901 Willow St
Vincennes, IN 47591-4277

Phone

(812) 494-9514

Fax

(812) 494-9515

NPI assigned

Feb 16, 2026

Last updated

May 5, 2026By 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

Enrolled in IN

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, 2014

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Good Samaritan Family Health Center, Inc

  dba Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Vincennes, IN
  • NPI 1174031256
  Medicare reassignment NPD
• Good Samaritan Family Health Center, Inc.

  dba Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Washington, IN
  • NPI 1063302545
  NPD

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1215880794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475910556",
            "telephone_number": "812-494-9501",
            "fax_number": "812-494-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 WILLOW ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914277",
            "telephone_number": "812-494-9514",
            "fax_number": "812-494-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARGAL",
        "first_name": "KELLIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011284A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reynaldo A Carandang, M.D.
• Aaron Dale Cardinal, D.D.S.
• Tara Cardinal
• Cardio Vascular Thoracic Surgery LLC
• Cardiovascular Consultants of Vincennes, PC
• Kelli Jeanne Carie, FNP-C
• Alice Leeann Carroll, FNP
• Ashlynn Carson
• Lillybeth Cassel, MSN, RN
• Ashley J Cassem, LCSW

• Clinical Social Worker in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.