Active NPI
Alexis Lauren Keilly, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1881348035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.022588
- Practice address
- 1258 N Kedzie Ave Apt 3
Chicago, IL 60651-2469 - Phone
- (248) 760-3233
- NPI assigned
- Feb 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 149.022588 | IL | Primary |
Addresses
Primary practice location
1258 N Kedzie Ave Apt 3
Chicago, IL 60651-2469
Mailing address
1258 N Kedzie Ave Apt 3
Chicago, IL 60651-2469
Phone (248) 760-3233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 8, 2025 through Apr 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1881348035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1258 N KEDZIE AVE APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606512469",
"telephone_number": "248-760-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1258 N KEDZIE AVE APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606512469",
"telephone_number": "248-760-3233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEILLY",
"first_name": "ALEXIS",
"middle_name": "LAUREN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-07",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.022588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.