Doctor profile · Federal record

Dr. Kellilynn Bosak, LCSW

Clinical Social Worker · Clinical Social Worker · Coos Bay, OR

  • NPI 1205363421
  • 9 yrs on file
  • Licensed in 2 states
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
150 S Wall St
Coos Bay, OR 974203233
(541) 435-7200
Additional location
1900 Woodland Dr
Coos Bay, OR 974202099
(541) 267-5151
fax (541) 266-4554
Mailing address
1900 Woodland Dr
Coos Bay, OR 974202099

Credentials & registration

NPPES · NUCC
NPI registered
May 2017 — 9 yrs on file
Profile last updated
November 6, 2025
Specialty taxonomy
1041C0700X — NUCC code
State licenses (2)
Oregon #L8472 · Illinois #149019376
Medicaid
OR #500779268

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1205363421. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
446
Distinct HCPCS
6
Medicare allowed
$29,867
HCPCS Description Services Patients Avg allowed
90832 Psychotherapy, 30 minutes 169 57 $53
90834 Psychotherapy, 45 minutes 99 35 $73
99494 Psychiatric collaborative care management per calendar month, each additional 30 minutes 75 18 $41
99493 Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes 67 16 $102
99492 Initial psychiatric collaborative care management, first calendar month, first 70 minutes 19 19 $106
90837 Psychotherapy, 1 hour 17 11 $107

In context: peer comparison

Among 4 peers in Coos Bay Clinical Social Worker, average services per provider: 136. This provider delivers 3.3× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Kellilynn Bosak's medical specialty?
Dr. Kellilynn Bosak practices Clinical Social Worker in Coos Bay, OR.
Where does Dr. Kellilynn Bosak practice?
Dr. Kellilynn Bosak practices at 150 S Wall St, Coos Bay, OR 974203233. Office phone: 5414357200.
What is Dr. Kellilynn Bosak's NPI?
Dr. Kellilynn Bosak's National Provider Identifier (NPI) is 1205363421, issued by NPPES.
What procedures does Dr. Kellilynn Bosak commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90832); Psychotherapy (HCPCS 90834); Psychiatric collaborative care management per calendar month (HCPCS 99494). Source: CMS Medicare Physician & Other Practitioners file.