KAILEY JEAN KARDER (MSW) – Social Worker, NPI 1952122202

KAILEY JEAN KARDER (MSW) is a healthcare provider. based in Peoria, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. The NPI Number for KAILEY JEAN KARDER (MSW) is 1952122202

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
KAILEY JEAN KARDER (MSW)
NPI
1952122202
Phone
Not provided
Address
5101 N EXECUTIVE DR
Enumeration Date
21 October 2024
Last Update Date
15 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3094081493
Graduation Year
2024 (2 years ago)
PAC ID
4981126224
Group Practice PAC ID
1951659465
Professional Enrollment ID
I20250317002158
Address ID
IL616144868PE5101XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for KAILEY JEAN KARDER (MSW)

  • 5101 N EXECUTIVE DR

    PEORIA, IL 616144868

    Phone:

    Mailing address matches the actual address.

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: 2025-03-17

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
I20250317002158IClinical 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 61614)

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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: 1951659465View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What identifier follows KAILEY JEAN KARDER (MSW) across health systems?
The NPI 1952122202 uniquely identifies KAILEY JEAN KARDER (MSW) in U.S. healthcare data.
Is KAILEY JEAN KARDER (MSW)'s NPI status active today?
Active status means KAILEY JEAN KARDER (MSW)'s NPI record is not deactivated in the public file.
What does the directory say KAILEY JEAN KARDER (MSW) does?
Insurance directories may phrase it differently, but here KAILEY JEAN KARDER (MSW) maps to Social Worker. Clinical services aligned with this taxonomy classification.
Is KAILEY JEAN KARDER (MSW) tied to Peoria, Illinois?
If you are local to Peoria, Illinois, KAILEY JEAN KARDER (MSW) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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