Active NPI
Starlene Kelley, LCSW, CADC
- Clinical Social Worker
- Warrenville, IL
National Provider Identifier
1487959847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149014766
- Practice address
- 4320 Winfield Rd Ste 200
Warrenville, IL 60555-4023 - Phone
- (312) 801-5100
- NPI assigned
- Jan 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149014766 | IL | Primary |
Addresses
Primary practice location
4320 Winfield Rd Ste 200
Warrenville, IL 60555-4023
Mailing address
4320 Winfield Rd Ste 200
Warrenville, IL 60555-4023
Phone (312) 801-5100
Other names 1
- Starlene Stewart
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4320 Winfield Rd
Suite 200
Warrenville, IL 60555-4023
Phone (312) 801-5100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149014766 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resonate & Elevate LLC | Clinical | Current | Accepting new patients |
| Samaritan Counseling Center | Past | Accepting new patients |
Locations
4320 Winfield Rd
Ste 200
Warrenville, IL 60555
Phone (630) 410-9587
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Warrenville, IL
- NPI 1306401849
-
- Clinical Psychologist
- Naperville, IL
- NPI 1497842983
-
- Marriage & Family Therapist
- Winnetka, IL
- NPI 1841397353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1487959847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 WINFIELD RD STE 200",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605554023",
"telephone_number": "312-801-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 WINFIELD RD STE 200",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605554023",
"telephone_number": "312-801-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "STARLENE",
"name_prefix": "Mrs.",
"credential": "LCSW, CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-17",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149014766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STARLENE",
"last_name": "STEWART",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.