Kelly Patricia Kilgallon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.019099 Issued in IL

Practice address

1300 W Belmont Ave Ste 514
Chicago, IL 60657-3200

Phone

(773) 875-7759

NPI assigned

Aug 11, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1912422882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 1/2 N ASHLAND AVE APT 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132533",
            "telephone_number": "773-875-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE STE 514",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200",
            "telephone_number": "773-875-7759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4034 1/2 N Ashland Ave Apt 1W",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606132533",
            "country_code": "US",
            "telephone_number": "773-875-7759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILGALLON",
        "first_name": "KELLY",
        "middle_name": "PATRICIA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Rebecca Kilduff, MD
• Tania Nicole Kiley-Rosiles
• Jessica W Kiley, MD
• Maureen Ann Kilfoil, RD, LDN
• Bonnie Kilfoyle, ED S.
• Sean Patrick Kilgallon, DO
• Ariana Renee Kilgore, LSW
• Ryan Joseph Kilian
• German Kilimnik
• Michael James Kilkelly, M.D.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Dec 9, 2021; 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.