Reem Kurdi Cutinello
Individual provider Active NPI Clinical Social Worker · Lemont, IL
NPI 1003003658 · NPPES record last updated Aug 14, 2014
Key facts
- NPI
- 1003003658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.012665 (IL)
- Practice address
- 15419 E 127TH St
Lemont, IL 60439-6494 - Phone
- (630) 777-7113
- NPI assigned
- Sep 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Oct 5, 2017 through Oct 5, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.012665 | IL | MD | Clinical Social Worker |
| 149012665 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.012665 | IL | Yes |
Addresses
Primary practice location
15419 E 127TH St
Lemont, IL 60439-6494
Mailing address
15419 E 127TH St
Lemont, IL 60439-6494
Phone (630) 777-7113
Other providers in Lemont, IL
- Ellen Elizabeth Connolly
- Linda Christine Cooling
- Creative Life Initiatives, LLC
- Hilary Crotty
- Sharon Irene Crull
- Magdalena A Czerniak
- Ron Joseph Czub
- D'Caregivers Inc.
- Stephanie Dangelo
- Melissa Daravalis
All providers in Lemont, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.