Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Jennifer Ann Kelly, LCSW

Individual provider Clinical Social Worker · NPI 1538992110

Mrs. Jennifer Ann Kelly, LCSW is a Clinical Social Worker in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices with Brightside Medical PA, a 95-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

10851 S Saint Louis Ave
Chicago, IL 60655-2615
Phone: (773) 343-7454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.027059 (IL)

Record details

NPI number1538992110
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 20, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Brightside Medical Pa — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Brightside Medical PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 95 clinicians in the practice; 12 are shown here.

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