Paul Andrew Kelvington, LCSW,LCPC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.015592 Issued in IL

Practice address

654 1/2 W Oakdale Ave
#1W
Chicago, IL 60657-5370

Phone

(773) 666-3022

NPI assigned

Dec 18, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1255739504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 1/2 W OAKDALE AVE",
            "address_2": "#1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575370",
            "telephone_number": "773-666-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 1/2 W OAKDALE AVE",
            "address_2": "#1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575370",
            "telephone_number": "773-666-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELVINGTON",
        "first_name": "PAUL",
        "middle_name": "ANDREW",
        "credential": "LCSW,LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009378",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kelso, A.P.N.
• Max Farber Kelsten, MD
• Debra D Kelton, MS CCC/SLP
• Mariah Kelty, MA, NCC
• Harshada Santosh Keluskar, MD
• Samaa Miftah Kemal, MD, MPH
• Sarah K. Kemble, M.D.
• Hanna R Kemeny, MD
• Kemit Academy Incorporated
• Sarah Kemmerer

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Dec 18, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.