Individual provider Active NPI

Kevin Allan Kelsey, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1801355540
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW342112 Issued in CA
Practice address
7010 S Union Ave
Chicago, IL 60621-2418
Phone
(708) 925-4523
NPI assigned
Mar 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.021058 IL
Clinical Social Worker 1041C0700X LCSW342112 CA Primary

Addresses

Primary practice location

7010 S Union Ave
Chicago, IL 60621-2418

Mailing address

14 Easley CT
Napa, CA 94558-2264
Phone (630) 453-0413

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
I20190418002101 IL Practitioner - Clinical Social Worker 2466793559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coropa, IncGroup PAC ID 1759664535, 2 clinicians

Practice addresses (Care Compare)

1420 Estate LN
Glenview, IL 60025-1520
Phone (312) 771-9908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW342112CAMDClinical Social Worker
149.021058ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coropa, Inc CurrentSince Nov 15, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1801355540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 EASLEY CT",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582264",
            "telephone_number": "630-453-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 S UNION AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212418",
            "telephone_number": "708-925-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "KEVIN",
        "middle_name": "ALLAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-12",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021058",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW342112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.