MRS. KELLY ANN KALT MSW LCSW NPI 1063513513

NPI Information

  • NPI: 1063513513
  • Provider Name: MRS. KELLY ANN KALT, MSW, LCSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1639 N ALPINE RD STE 403
    ROCKFORD, IL
    ZIP 61107
  • Phone: (815) 229-7102

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NPI Details

MRS. Kelly Ann Kalt, MSW, LCSW is a clinical social worker in Rockford, IL with 24 years of experience. The provider is 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. MRS. Kelly Ann Kalt, MSW, LCSW NPI is 1063513513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1639 N ALPINE RD STE 403
ROCKFORD, IL
ZIP 61107-440
Phone: (815) 229-7102
Fax: (815) 229-7108

The NPI 1063513513 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 1 hour (HCPCS:90837)

The enumeration date for this NPI number is 9/26/2006 and was last updated on 7/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical149.010705ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1506515OTHERVALUEOPTIONS
27233792OTHERAETNA
3IL1715OTHERMEDICARE PTAN
4830010000OTHERILLINOISMAGELLAN
50010132116OTHERBC/BS ID
62158705OTHERCOMPSYCH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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