Mason Kelly, LCSW
NPI 1396801064 · Clinical Social Worker · Chicago, IL
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mason Kelly, LCSW is a Clinical Social Worker provider in Chicago, IL (NPI 1396801064).
Provider details
- NPI number
- 1396801064
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 149011810 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2016-12-01
Frequently asked questions
- What is Mason Kelly's NPI number?
- Mason Kelly's National Provider Identifier (NPI) is 1396801064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mason Kelly's specialty?
- Mason Kelly is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mason Kelly located?
- Mason Kelly's practice location on file with NPPES is 8553 S Stony Island Ave, Chicago, IL 60617-2249.
- What is Mason Kelly's phone number?
- The practice phone number listed in the NPPES registry for Mason Kelly is (773) 972-3577.
- Does Mason Kelly accept Medicare?
- Mason Kelly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mason Kelly's NPI active?
- Yes — Mason Kelly's NPI (1396801064) is active in the NPPES registry as of the last update on 2016-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.