IndividualActive
Kelly Kavanagh, LCSW
NPI 1306111703 · Clinical Social Worker · Waukegan, IL
Provider details
- NPI number
- 1306111703
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 150.013270 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3010 Grand Ave
Waukegan, IL 60085-2321
Phone: (847) 377-8950
Fax: (847) 984-5602
Street-level locationGet directions
Mailing address
3010 Grand Ave
Waukegan, IL 60085-2321
Additional practice locations (1)
- 29 W Big Horn DrHainesville, IL 60073-4722Phone: (224) 715-3078
Registry dates
- Enumerated
- 2012-03-19
- Last updated
- 2020-12-30
- Certified
- 2020-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.