MS. MARY KELLY LCSW
NPI 1992215826
Social Worker - Clinical in Chicago, IL

NPI Status: Active since October 05, 2017

Contact Information

1901 W HARRISON ST
CHICAGO, IL
ZIP 60612
Phone: (312) 864-2327
Fax: (312) 864-9380

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  • Individual
  • Female
  • Social Worker
  • Clinical

About MARY KELLY

This page provides the complete NPI Profile along with additional information for Mary Kelly, a provider established in Chicago, Illinois with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1992215826 assigned on October 2017. The practitioner's primary taxonomy code is 1041C0700X with license number 149.01408 (IL). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1992215826
Provider Name
MS. MARY KELLY LCSW
Gender
Female
Entity Type
Individual
Location Address
1901 W HARRISON ST CHICAGO, IL 60612
Location Phone
(312) 864-2327
Location Fax
(312) 864-9380
Mailing Address
1901 W HARRISON ST CHICAGO, IL 60612
Mailing Phone
(312) 864-2327
Mailing Fax
(312) 864-9380
Is Sole Proprietor?
Yes
Enumeration Date
10-05-2017
Last Update Date
10-05-2017
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A clinical social worker like Mary Kelly is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
149.01408
License State
IL
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
840500MEDICAID (05)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992215826
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29182411084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 4 + 1 + 1 + 0 + 8 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1992215826 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770586174DR. PETE ANTONOPOULOS PHARMD
Individual
Pharmacist (Pharmacotherapy)1901 W HARRISON ST LL 170
CHICAGO, IL 60612
(312) 760-0800
1912981374DR. KAMANA ESTHER MBEKEANI M.D
Individual
Surgery (Surgical Critical Care)1901 W HARRISON ST DIVISION OF SURGICAL CRITICAL CARE
CHICAGO, IL 60612
(312) 864-5268
1487603114 SUBASH PATEL M.D.
Individual
Surgery1901 W HARRISON ST DEPARTMENT OF SURGERY
CHICAGO, IL 60612
(312) 864-3190
1235184128 GERALDINE HOLT CNS
Individual
Clinical Nurse Specialist (Adult Health)1901 W HARRISON ST
CHICAGO, IL 60612
(312) 864-6474
1720025422DR. PAUL DOUGLAS ERICKSON M.D.
Individual
Radiology (Diagnostic Radiology)1901 W HARRISON ST
CHICAGO, IL 60612
(312) 864-6000
1972542991DR. RITA AGARWALA MD
Individual
Specialist1901 W HARRISON ST
CHICAGO, IL 60612
(312) 864-6000
1720027758DR. PATRICK MICHAEL DUNNE M.D.
Individual
Radiology (Diagnostic Radiology)1901 W HARRISON ST ROOM 2533
CHICAGO, IL 60612
(312) 864-3825
1215978812MS. RAQUEL MARILYN WEST-CRISP CNP
Individual
Nurse Practitioner (Adult Health)1901 W HARRISON ST 2ND FLOOR, GENERAL MEDICINE CLINIC
CHICAGO, IL 60612
(312) 864-6212
1467493627 MARVIN W. PETRY M.D.
Individual
Radiology (Diagnostic Radiology)1901 W HARRISON ST JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY
CHICAGO, IL 60612
(312) 864-6000
1205879970DR. DHARMA D. RAJBHANDARI M.D.
Individual
Radiology (Therapeutic Radiology)1901 W HARRISON ST STROGER HOSPITAL OF COOK COUNTY
CHICAGO, IL 60612
(312) 864-6000
1730122672DR. EVELYN A. LACUESTA M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)1901 W HARRISON ST
CHICAGO, IL 60612
(312) 864-0531
1558304956MRS. PREMA DAVID RN,MSN,NP-C
Individual
Nurse Practitioner (Adult Health)1901 W HARRISON ST SUITE NO 215, 637 S WOOD ST
CHICAGO, IL 60612
(312) 864-4600
1649216540MS. BERNICE MAN M.D.
Individual
Internal Medicine1901 W HARRISON ST JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY
CHICAGO, IL 60612
(312) 864-6000
1538105184 SHANE BORKOWSKY MD
Individual
Internal Medicine1901 W HARRISON ST JOHN H. STROGER JR HOSPITAL OF COOK COUNTY
CHICAGO, IL 60612
(312) 864-6000
1336175207DR. PRABHAVATHI MARIYAPPA M.D.
Individual
Pediatrics (Pediatric Emergency Medicine)1901 W HARRISON ST JOHN H. STROGER JR. HOSPITAL, DEPARTMENT OF PEDIATRICS
CHICAGO, IL 60612
(312) 864-1523
1407883499DR. MAUREEN T. STURMAN MD
Individual
Internal Medicine (Geriatric Medicine)1901 W HARRISON ST
CHICAGO, IL 60612
(312) 864-6000
1851320568MR. ISABEL F. FAIRCLOTH APN,-CCNS , CNP
Individual
Nurse Practitioner (Adult Health)1901 W HARRISON ST
CHICAGO, IL 60612
(312) 864-4600
1417987363DR. ROLANCO BALAGTAS M.D.
Individual
Pediatrics1901 W HARRISON ST
CHICAGO, IL 60612
(312) 864-4665
1669404240DR. JINI HAE-JIN HAN MD
Individual
Internal Medicine1901 W HARRISON ST JOHN H. STROGER JR. HOSPITAL OF COOK COUNTY
CHICAGO, IL 60612
(312) 864-6000
1336171420 MERRICK SHOR
Individual
Radiology (Diagnostic Radiology)1901 W HARRISON ST RM 2533
CHICAGO, IL 60612
(312) 864-3825

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992215826, enumerated in the NPI registry as an "individual" on October 05, 2017

The provider is located at 1901 W Harrison St Chicago, Il 60612 and the phone number is (312) 864-2327

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 05, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.