Kristen Christensen

Individual provider Active NPI Clinical Social Worker · Inverness, IL

NPI 1043799646 · NPPES record last updated Jul 30, 2025

Key facts

NPI
1043799646
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
C011685 (NC)
Practice address
1602 W Colonial Pkwy Uppr 2
Inverness, IL 60067-1219
Phone
(847) 364-0163
Fax
(847) 589-5835
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1602 W Colonial Pkwy
Suite 200
Inverness, IL 60067-1215

1602 W Colonial Pkwy
Uppr 2
Inverness, IL 60067-1219
Phone (847) 364-0163

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250728002800 IL Practitioner - Clinical Social Worker 1456868256 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
C011685NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Counseling and Wellness Clinical Current
since May 10, 2025
Accepting new patients

Locations

1602 W Colonial Pkwy
Ste 200
Inverness, IL 60067
Phone (847) 349-0163

1602 W Colonial Pkwy
Uppr 2
Inverness, IL 60067
Phone (847) 364-0163

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C011685 NC Yes

Addresses

Primary practice location

1602 W Colonial Pkwy Uppr 2
Inverness, IL 60067-1219

Mailing address

1602 W Colonial Pkwy Ste 200
Inverness, IL 60067-1215
Phone (847) 364-0163

Other providers in Inverness, IL

All providers in Inverness, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.