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

Kristen M Kellerhals, BA

Individual provider Clinical Social Worker · NPI 1457979676

Kristen M Kellerhals, BA is a Clinical Social Worker in Champaign, Illinois. Qualified in 2017, 9 years ago. Registered with an NPI since 2020.

Years since qualifying
9
In the registry since
2020
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

2506 Galen Dr Ste 108
Champaign, IL 61821-7047
Phone: (217) 238-5700
Fax: (217) 238-5767
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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

Record details

NPI number1457979676
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorNo
NPI enumeratedJuly 14, 2020
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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