KELLY VAUGHAN


Address: 4305 N Lincoln Ave, Suite O, Chicago, IL 60618-1711
Phone: 6307682520

KELLY VAUGHAN (NPI# 1316364094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316364094
Entity Type Individual
Full Name KELLY VAUGHAN
Credential LCSW
Practice Address 4305 N Lincoln Ave
Suite O
Chicago
IL 60618-1711
Practice Telephone 6307682520
Mailing Telephone 6307682520
Enumeration Date 2014-03-19
Last Update Date 2014-08-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
149016408 IL Behavioral Health & Social Service Providers

Other Providers KELLY VAUGHAN

NPI Name Taxonomy Address Enumeration
1013383678 Kelly J Vaughan Case Manager/Care Coordinator 302 3rd St Se, Loveland, CO 80537-6419 2015-08-18
1255655569 Kelly J Vaughan Dietitian, Registered 301 N Herman St, Box Cc, Goldsboro, NC 27530-2973 2010-03-16

Office Location

Street Address 4305 N LINCOLN AVE
SUITE O
City CHICAGO
State IL
Zip Code 60618-1711

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215920608 Phyllis Sydnie Gould Social Worker 4305 N Lincoln Ave, Suite N, Chicago, IL 60618-1711 2005-08-31
1134731458 Susan Ae Chan Counselor 4305 N Lincoln Ave, Chicago, IL 60618-1807 2020-08-18
1346717345 Papa Ndomu Adams Counselor 4305 N Lincoln Ave, Chicago, IL 60618-1807 2018-10-28
1356817522 Parkside Therapy Social Worker 4305 N Lincoln Ave, Chicago, IL 60618-1807 2018-10-16
1013457951 Embrace The Center for Emotional Wellbeing LLC Psychologist 4305 N Lincoln Ave, Ste M, Chicago, IL 60618-1807 2017-02-25
1316397979 Catalyst Clinical Group, Inc Social Worker 4305 N Lincoln Ave, Suite M, Chicago, IL 60618-1711 2016-06-14
1023475886 Annaliese Rosamunde Spalink Social Worker 4305 N Lincoln Ave, Suite M, Chicago, IL 60618-1711 2016-01-25
1639562192 Jessica Albright Counselor 4305 N Lincoln Ave, Chicago, IL 60618-1711 2015-03-09
1407265143 Creative Health Counseling, LLC Counselor 4305 N Lincoln Ave, Suite M, Chicago, IL 60618-1711 2014-08-06
1265848253 Diane Pelegris Social Worker 4305 N Lincoln Ave, Suite K, Chicago, IL 60618-1711 2014-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134741622 Cvs Aoc Services, L.L.C. Optometrist 4051 North Lincoln, Store 8751, Chicago, IL 60618 2020-05-07
1699317404 Joseph Thank Harmon Registered Nurse 5645 W Addison, Chicago, IL 60618 2019-10-14
1760952626 Prep Performance Center, LLC Clinic/Center 4022 N Rockwell Street, Chicago, IL 60618 2018-12-04
1528540986 Ruby Erdmann Dietitian, Registered 3126 N Kimball Ave. #3w, Chicago, IL 60618 2018-09-02
1962997064 Living Roots Psychotherapy, LLC Clinic/Center 4310 N Spaulding Ave, Chicago, IL 60618 2018-06-30
1962920116 Alif Muhammad Counselor 3819 W Cornelia Ave #2, Chicago, IL 60618 2017-09-07
1417471178 Daniel Lee Mcmillan Counselor 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 2017-08-03
1508380486 Callie Weinberg Social Worker 2945 N Damen Ave, 1s, Chicago, IL 60618 2017-08-01
1275062697 Melissa Ann Prest Dietitian, Registered 3258 W Warner Ave, Apt 2, Chicago, IL 60618 2017-06-08
1871951038 Bionic Prosthetics and Orthotics Group LLC Prosthetic/Orthotic Supplier 4315 N. Lincoln Avenue, Chicago, IL 60618 2016-02-03
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295336022 Web Healing Collective Pllc Social Worker 6207 N Springfield Ave, Chicago, IL 60659-1015 2020-11-06
1881295186 Belva Marie Dibert Social Worker 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 2020-11-03
1861092835 Lauren Less Social Worker 111 East Pearson St, Chicago, IL 60611 2020-10-29
1164022422 Brittany Lauren Gatchell Social Worker 7448 N Damen Ave Apt 3n, Chicago, IL 60645-2258 2020-10-27
1467052803 Seri Elaine Porter Social Worker 4258 N Greenview Ave Apt 2d, Chicago, IL 60613-1173 2020-10-26
1255930707 Emily Ehrens Social Worker 303 W Institute Pl Ste 300, Chicago, IL 60610-3080 2020-10-25
1316546955 Yesenia Maldonado Social Worker 3922 N Sayre Ave, Chicago, IL 60634-2329 2020-10-24
1144829201 Andrea Hohf, Mscd, Lcsw Social Worker 564 W Randolph St Ste 248, Chicago, IL 60661-2218 2020-10-20
1215536693 Miracleworks Therapy & Consulting LLC Social Worker 2138 S Indiana Ave, Chicago, IL 60616-4930 2020-10-18
1104425552 Fifth Star Collective, LLC Social Worker 2711 N Lawndale Ave Unit 2, Chicago, IL 60647-1127 2020-10-17
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Competitor

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City CHICAGO
Zip Code 60618

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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