Kirsten Refvik, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015103 Issued in IL

Practice address

105 Jill LN
Streamwood, IL 60107-1146

Phone

(336) 420-3367

NPI assigned

Mar 2, 2020

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vitae Health Medical Illinois, PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1174013452

  Clinical, IL

  Medicare reassignment Care Compare group NPD

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Alden-Long Grove Rehabilitation and Health Care Center, Inc.

  • Skilled Nursing Facility
  • Long Grove, IL
  • NPI 1972590230

  W-2 Managing Employee

  CMS ownership

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitae Health Medical Illinois, PLLC 214 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (1 of 6)

Locations

Networks

• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• IL HMO C-SNP
• IL PPO Downstate
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 2, 2020.

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1003440769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 JILL LN",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071146",
            "telephone_number": "336-420-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 JILL LN",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071146",
            "telephone_number": "336-420-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REFVIK",
        "first_name": "KIRSTEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracie Lyn Rankins
• Adrian Ignacio Raygoza, MPH
• Rci (WRS), LLC
• Ready Set Grow Pediatric Therapy, Inc.
• Real Talk Therapy Solutions LLC
• Mary Reiner, P.A.
• Resilience Warriors LLC
• Anna Reyes
• Giusto Romano, D.D.S.
• Rosin Optical Co. Inc.

• All providers in Streamwood, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.