ELISE C KIRKILAS (LCSW) – Social Worker, NPI 1174996185
Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
212 CLINICAL SOCIAL WORKER in AK
Provider Addresses for ELISE C KIRKILAS (LCSW)
125 CRESTRIDGE ST
FORT COLLINS, CO 805253934
Phone: (970) 494-9761
Type: Mailing
302 RAILWAY AVE
SEWARD, AK 99664
Phone: (907) 224-5257
Type: Location
524 E Cecil St
Neenah, WI 549563819
Phone: (203) 612-0514
Type: Location
15 ANCHOR DR STE 202
ROCKPORT, ME 048563848
Phone: (207) 301-5800
Fax: (207) 301-5332
Type: Mailing
524 E CECIL ST
NEENAH, WI 549563819
Phone: (203) 612-0514
Type: Mailing
5471 W WATERFORD LN
APPLETON, WI 549138510
Phone: (920) 731-7445
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-03-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220907000598 | I | Clinical Social Worker | WI | TBD |
| I20250321002488 | I | Clinical Social Worker | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Family Practice, Hospice/Palliative Care | ME | |
| Pediatric Medicine, Endocrinology | MA | |
| - | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME |
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