Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chelsie Deeann Killpack, LCSW

Individual provider Clinical Social Worker · NPI 1396456190

Chelsie Deeann Killpack, LCSW is a Clinical Social Worker in Provo, Utah. Qualified in 2023, 3 years ago. Practices with State of Utah, a 31-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1300 E Center St
Provo, UT 84606-3554
Phone: (801) 344-4400
Fax: (801) 344-4225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10757689-3501 (UT)

Record details

NPI number1396456190
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 12, 2022
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025
Mailing addressPo Box 270, Provo, UT 84603-0270

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice State Of Utah — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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