Individual provider Active NPI

Karen A Pecha, LCSW

  • Clinical Social Worker
  • Westmont, IL
National Provider Identifier
1043469984
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149002755 Issued in IL
Practice address
999 Oakmont Plaza Dr
100
Westmont, IL 60559-5563
Phone
(630) 850-2120
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149002755 IL Primary

Addresses

Primary practice location

999 Oakmont Plaza Dr
100
Westmont, IL 60559-5563

Mailing address

999 Oakmont Plaza Dr
100
Westmont, IL 60559-5563
Phone (630) 850-2120

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
I20090506000169 IL Practitioner - Clinical Social Worker 0244388965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hinsdale Behavioral Health ClinicGroup PAC ID 2163619099, 9 clinicians

Practice addresses (Care Compare)

201 E Ogden Ave
Suite 220
Hinsdale, IL 60521-3661
Phone (630) 920-1795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hinsdale Behavioral Health Clinic CurrentSince Apr 2, 2016 Accepting new patients

Locations

201 E Ogden Ave
Ste 220
Hinsdale, IL 60521
Phone (630) 892-0417

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1043469984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 OAKMONT PLAZA DR",
            "address_2": "100",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595563",
            "telephone_number": "630-850-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 OAKMONT PLAZA DR",
            "address_2": "100",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595563",
            "telephone_number": "630-850-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHA",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149002755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.