Individual provider Active NPI

Kelsey Maleski, LCSW

  • Clinical Social Worker
  • Elgin, IL
National Provider Identifier
1285187278
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.027109 Issued in IL
Practice address
2050 Larkin Ave
Suite 101
Elgin, IL 60123
Phone
(847) 697-2400
NPI assigned
Jul 26, 2016
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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 NU
Clinical Social Worker 1041C0700X 149.027109 IL Primary

Addresses

Primary practice location

2050 Larkin Ave
Suite 101
Elgin, IL 60123

Mailing address

2050 Larkin Ave
Suite 101
Elgin, IL 60123
Phone (847) 697-2400

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
I20241008000296 IL Practitioner - Clinical Social Worker 2567993173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Psychiatry and Counseling, PCGroup PAC ID 8022092667, 14 clinicians

Practice addresses (Care Compare)

2050 Larkin Ave
Suite 202
Elgin, IL 60123-5899
Phone (847) 697-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.027109ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Psychiatry and Counseling, PC Mental Health CurrentSince Aug 1, 2024 Accepting new patients

Locations

1710 N Randall Rd
Ste 100
Elgin, IL 60123
Phone (312) 961-9974

2050 Larkin Ave
Ste 101
Elgin, IL 60123
Phone (847) 697-2400

2050 Larkin Ave
Ste 202
Elgin, IL 60123
Phone (708) 697-2400

Organizations & group practices 1

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1285187278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 LARKIN AVE",
            "address_2": "SUITE 101",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "847-697-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 LARKIN AVE",
            "address_2": "SUITE 101",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "847-697-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALESKI",
        "first_name": "KELSEY",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2024-12-04",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.027109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.