Organization Active NPI

Kelly a. Kalt, MSW, LCSW, Inc.

  • Clinical Social Worker
  • Rockford, IL
National Provider Identifier
1801114871
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KELLY A. KALT, MSW, LCSW, INC.
Practice address
1639 N Alpine Rd
Suite #403
Rockford, IL 61107-1449
Phone
(815) 229-7102
Fax
(815) 229-7108
NPI assigned
May 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Kelly Kalt, MSW, LCSWNPI 1063513513
Title
Licensed Clincial Social Worker
Phone
(815) 229-7102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1639 N Alpine Rd
Suite #403
Rockford, IL 61107-1449

Mailing address

1639 N Alpine Rd
Suite #403
Rockford, IL 61107-1449
Phone (815) 229-7102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101207000753 IL Part B Supplier - Clinic/Group Practice 9032306717 Receives reassigned benefits from 1 practitioner
Practice locations: Rockford, IL

National Provider Directory

National Provider Directory

Locations

1639 N Alpine Rd
Ste 403
Rockford, IL 61107
Phone (608) 492-1992

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1801114871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 N ALPINE RD",
            "address_2": "SUITE #403",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071449",
            "telephone_number": "815-229-7102",
            "fax_number": "815-229-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 N ALPINE RD",
            "address_2": "SUITE #403",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071449",
            "telephone_number": "815-229-7102",
            "fax_number": "815-229-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY A. KALT, MSW, LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "KALT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "LICENSED CLINCIAL SOCIAL WORKER",
        "authorized_official_telephone_number": "815-229-7102",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.