KATHLEEN DIANE ELY (LCSW) – Clinical Social Worker, NPI 1104055714

KATHLEEN DIANE ELY (LCSW) is a healthcare provider. based in Sugar grove, Illinois. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 149012496 (IL). The NPI Number for KATHLEEN DIANE ELY (LCSW) is 1104055714

Main info

Female
Sole Proprietor
Name
KATHLEEN DIANE ELY (LCSW)
NPI
1104055714
Phone
(630) 466-0019
Address
172 BROOKHAVEN COURT
Enumeration Date
6 July 2009
Last Update Date
23 September 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:16State licenses:2Digital endpointsOther names

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Provider Addresses for KATHLEEN DIANE ELY (LCSW)

  • 172, Brookhaven Court, Sugar Grove, Sugar Grove Township, Kane County, Illinois, 60554, United States

    SUGAR GROVE, IL 60554

    Phone: (630) 466-0019

    Fax: (630) 809-5062

    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: 2026-02-12

PECOS data refreshed: 2026-05-27

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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 60554)

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Reviews

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Frequently asked questions

What number should I use to identify KATHLEEN DIANE ELY (LCSW) for billing?
Administrative and clinical systems typically use NPI 1104055714 for KATHLEEN DIANE ELY (LCSW).
Is KATHLEEN DIANE ELY (LCSW)'s NPI status active today?
Active status means KATHLEEN DIANE ELY (LCSW)'s NPI record is not deactivated in the public file.
Which specialty label fits KATHLEEN DIANE ELY (LCSW)?
NPPES ties KATHLEEN DIANE ELY (LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KATHLEEN DIANE ELY (LCSW)?
KATHLEEN DIANE ELY (LCSW) is associated with Sugar Grove, Illinois in the same public data insurers reference.
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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