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

Kelly Lindenbaum

Individual provider Clinical Social Worker · NPI 1619422771

Kelly Lindenbaum is a Clinical Social Worker in Kenosha, Wisconsin. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
WI
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

5455 Sheridan Rd Ste LL10
Kenosha, WI 53140-3752
Phone: (262) 909-0356
Fax: (262) 551-3911
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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 8701-123 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 8701 (WI)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 556-228 (WI)

Record details

NPI number1619422771
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 18, 2016
Last updated in NPPESJanuary 1, 2024
Certification dateJanuary 1, 2024
Mailing address5556 31st Ave, Kenosha, WI 53144-2804

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kenosha