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

Krystle Kellick, LCSW

Individual provider Clinical Social Worker · NPI 1477328417

Krystle Kellick, LCSW is a Clinical Social Worker in Chicago, Illinois. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Illinois.

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

5108 N Wolcott Ave Bsmt
Chicago, IL 60640-8639
Phone: (847) 767-7730
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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 149.025535 (IL)

Record details

NPI number1477328417
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 20, 2023
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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