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

Individual provider Clinical Social Worker · NPI 1396041976

Mrs. Kelly Ann Kendall, LCSW is a Clinical Social Worker in Springfield, Illinois. Qualified in 2003, 23 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2011
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

319 E Madison St Fl 3
Springfield, IL 62701-1035
Phone: (217) 545-8000
Fax: (217) 545-2275
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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 149011955 (IL)

Record details

NPI number1396041976
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 31, 2011
Last updated in NPPESSeptember 26, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Siu Physicians And Surgeons Inc — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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