Kellen M Smith, - Clinical Social Worker in Fox Lake, IL

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Kellen M Smith, is a Social Worker - Clinical based in Fox Lake, Illinois. Kellen M Smith is licensed to practice in Illinois (license number 150113514) and her current practice location is 94 Eagle Point Rd, Fox Lake, Illinois. She can be reached at her office (for appointments etc.) via phone at (815) 528-8965.

NPI number for Kellen M Smith is 1306281324 and her current mailing address is 94 Eagle Point Rd, Fox Lake, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306281324.

Contact Information

Kellen M Smith,
94 Eagle Point Rd,
Fox Lake, IL 60020-1764
(815) 528-8965
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKellen M Smith
GenderFemale
SpecialitySocial Worker - Clinical
Location94 Eagle Point Rd, Fox Lake, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306281324
  • Provider Enumeration Date: 05/03/2013
  • Last Update Date: 11/05/2024

Medical Identifiers

Medical identifiers for Kellen M Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306281324NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 150113514 (Illinois)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) 30074 (Illinois)Secondary
101YM0800XCounselor - Mental Health 35098 (Illinois)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellen M Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kellen M Smith,
94 Eagle Point Rd,
Fox Lake, IL 60020-1764

Ph: (815) 528-8965		Kellen M Smith,
94 Eagle Point Rd,
Fox Lake, IL 60020-1764

Ph: (815) 528-8965

Reviews and Comments


Social Worker in Fox Lake, IL

Tracy Marie Cooper, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 34 W Grand Ave Ste 101, Fox Lake, IL 60020
Phone: 585-957-3981    
Lauren Scaglione, LSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 34 W Grand Ave Ste 101, Fox Lake, IL 60020
Phone: 847-322-2975    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.