KELLI SLOAN – Social Worker, NPI 1811640329

KELLI SLOAN is a healthcare provider. based in Chicago, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 149.026654 (IL). The NPI Number for KELLI SLOAN is 1811640329

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KELLI SLOAN
NPI
1811640329
Phone
(773) 609-2069
Address
5547 N RAVENSWOOD AVE STE 103
Enumeration Date
3 February 2022
Last Update Date
5 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
4789023987
Group Practice PAC ID
2860380805
Professional Enrollment ID
I20240422000548
Address ID
IL606081200Ch1850XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for KELLI SLOAN

  • 5547 N RAVENSWOOD AVE STE 103

    CHICAGO, IL 606401125

    Phone: (773) 609-2069

    Type: Mailing

  • 1850 W ROOSEVELT RD

    CHICAGO, IL 606081200

    Phone: (312) 966-3460

    Type: Mailing

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: 2024-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240422000548IClinical Social WorkerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 60640)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860380805View full group profile
NameSpecialtyState
Mental Health CounselorIL
O P T O M E T R YIL
Clinical PsychologistIL
-IL
O P T O M E T R YIL
Occupational Therapist In Private PracticeIL
O P T O M E T R YIL
-IL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Does KELLI SLOAN share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELLI SLOAN uses 1811640329.
Does CMS list KELLI SLOAN as active?
Yes — KELLI SLOAN is active in the NPI listing used on this page.
What taxonomy line describes KELLI SLOAN?
For research purposes, treat KELLI SLOAN as Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where is KELLI SLOAN based?
KELLI SLOAN is tied to Chicago, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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