Individual provider Active NPI

Nancy Robin Krtek

  • Clinical Social Worker
  • St Charles, IL
National Provider Identifier
1013040005
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014633 Issued in IL
Practice address
473 Dunham Rd
Suite 216
St Charles, IL 60174-1405
Phone
(716) 359-6402
NPI assigned
Mar 13, 2007
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 069359-1 NY
Clinical Social Worker 1041C0700X 149.014633 IL Primary

Addresses

Primary practice location

473 Dunham Rd
Suite 216
St Charles, IL 60174-1405

Mailing address

473 Dunham Rd
Suite 216
St Charles, IL 60174-1405
Phone (716) 359-6402

Other names 1

  • Nancy Robin Orlikowski-Krtek Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140407000425 IL Practitioner - Clinical Social Worker 0244314011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

473 Dunham Rd
St Charles, IL 60174-1423
Phone (716) 359-6402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.014633ILMDClinical Social Worker
069359-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy R Krtek, LCSW, Counseling and Consultation PLLC Clinical CurrentSince Jul 1, 2019 Accepting new patients

Locations

473 Dunham Rd
Ste 216
St Charles, IL 60174
Phone (716) 359-6402

4955 N Bailey Ave
Ste 100
Buffalo, NY 14226
Phone (716) 235-1922

Organizations & group practices 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1013040005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 DUNHAM RD",
            "address_2": "SUITE 216",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741405",
            "telephone_number": "716-359-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 DUNHAM RD",
            "address_2": "SUITE 216",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741405",
            "telephone_number": "716-359-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRTEK",
        "first_name": "NANCY",
        "middle_name": "ROBIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069359-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "ORLIKOWSKI-KRTEK",
            "middle_name": "ROBIN",
            "credential": "LCSW, LCSW-R, ND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.