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

MS. Kelly A Kavanagh, LCSW

Individual provider Social Worker · NPI 1306111703

MS. Kelly A Kavanagh, LCSW is a Social Worker in Waukegan, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2012
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

3010 Grand Ave
Waukegan, IL 60085-2321
Phone: (847) 377-8950
Fax: (847) 984-5602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 29 W Big Horn Dr, Hainesville, IL 60073-4722 — (224) 715-3078

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.022674 (IL)
Social Worker Taxonomy 104100000X · Licence 150.013270 (IL)

Record details

NPI number1306111703
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 19, 2012
Last updated in NPPESDecember 30, 2020
Certification dateDecember 30, 2020

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