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Kellie Seccombe , MSW

Social Worker β€’ Chicago, IL

Active NPI 1821673567 Individual Practitioner Female Practitioner
Practice location in NPPES

1806 N Damen Ave
Chicago, IL 606475511

Call 7732700469 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1806 N Damen Ave

Chicago, IL 606475511

Telephone 7732700469
Organization at the Same NPPES Address or Phone
Individual And Family Connection, Llc Facility NPI 1871857615

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Chicago, IL; River Forest, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chicago and Illinois

1,284 active clinicians are listed under Social Worker with a practice address in Chicago, IL (5,884 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

0.9% of these 1,284 clinicians have the CMS telehealth indicator.

3% of these 1,284 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-24
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES IL 150.104905

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Secondary Practice Locations

7357 North Ave

River Forest, IL 603051230

Phone: 7732700469

2865 N Clybourn Ave

Chicago, IL 606188269

Phone: 7732700469

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 24, 2023

Registered at 1806 N DAMEN AVE, CHICAGO, IL 606475511 (Tel: 7732700469)

πŸ“
Updated Business Mailing Address August 24, 2023

Registered at 1806 N DAMEN AVE, CHICAGO, IL 606475511

βœ…
NPI Profile Active March 15, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 15, 2021

Registered at 2865 N CLYBOURN AVE, CHICAGO, IL 606188269 (Tel: 7732700469)

πŸ“
Business Mailing Address (Initial Record) March 15, 2021

Registered at 2865 N CLYBOURN AVE, CHICAGO, IL 606188269

πŸ‘€
Provider Name / Credentials (Initial Record) March 15, 2021

Recorded as KELLIE SECCOMBE, MSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2021

Social Worker (license number reported to NPPES: IL 150.104905)

🟒
Initial NPI Registration & Enumeration March 15, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1821673567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2021
Last Update: August 24, 2023
Sole Proprietor: No

Other Social Workers in Chicago

All Social Workers in Chicago

Mailing Address

1806 N Damen Ave

Chicago, IL 606475511

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.