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

Individual provider Clinical Social Worker · NPI 1205363421

Kellilynn Bosak, LCSW is a Clinical Social Worker in Coos Bay, Oregon. Works from 2 locations. Licensed in Illinois and Oregon.

Licensed in
IL, OR
In the registry since
2017
Specialties on file
2
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

150 S Wall St
Coos Bay, OR 97420-3233
Phone: (541) 435-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1900 Woodland Dr, Coos Bay, OR 97420-2099 — (541) 267-5151

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L8472 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149019376 (IL)

Record details

NPI number1205363421
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 18, 2017
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address1900 Woodland Dr, Coos Bay, OR 97420-2099

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