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

Jake Clifton Kelow III, LSW/CADC/ATE/COPDI

Individual provider Clinical Social Worker · NPI 1033981089

Jake Clifton Kelow III, LSW/CADC/ATE/COPDI is a Clinical Social Worker in Maywood, Illinois. Qualified in 2019, 7 years ago. Practices with Vitae Health Medical Illinois, PLLC, a 215-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2023

Practice location Address checks out

411 Madison St
Maywood, IL 60153-2136
Phone: (708) 450-3500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149031643 (IL)

Record details

NPI number1033981089
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW/CADC/ATE/COPDI
Sole proprietorNo
NPI enumeratedOctober 24, 2023
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Vitae Health Medical Illinois, Pllc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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