Kelsey Trunk, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149026871 Issued in IL

Practice address

211 N Veterans Pkwy Ste 1
Bloomington, IL 61704-3568

Phone

(309) 663-2229

NPI assigned

Aug 27, 2024

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

Other names 1

• Kelsey Cushing Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Agape Counseling, LTD

  • Psychologist
  • Morton, IL
  • NPI 1821070434
  NPD (past)

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1447084090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E QUEENWOOD RD",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502985",
            "telephone_number": "309-263-5565",
            "fax_number": "309-263-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N VETERANS PKWY STE 1",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043568",
            "telephone_number": "309-663-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUNK",
        "first_name": "KELSEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149026871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "CUSHING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shannon Colleen Trosper
• Wendy L. Trotter, MS, CCC-SLP
• True Image Counseling PLLC
• True North Counseling
• Paul Trumbull, P.T.
• Trust Without Borders Counseling LLC
• Truth in Love Counseling LLC
• Nenita C Tudtud, M.D.
• Srinivasan Tupal
• Caroline J Turner, APN

• Clinical Social Worker in Bloomington, IL
• Providers in Bloomington, 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 Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.