Individual provider Active NPI

Debora Marie Kahn

  • Clinical Social Worker
  • Arlington Heights, IL
National Provider Identifier
1053979245
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.018244 Issued in IL
Practice address
120 W Eastman St
Arlington Heights, IL 60004-5937
Phone
(847) 946-0168
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 149.018244 IL Primary

Addresses

Primary practice location

120 W Eastman St
Arlington Heights, IL 60004-5937

Mailing address

120 W Eastman St Ste 305
Arlington Heights, IL 60004-5950
Phone (847) 946-0168

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
I20210524002407 IL Practitioner - Clinical Social Worker 3173932407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J B Day IncGroup PAC ID 6002163920, 7 clinicians

Practice addresses (Care Compare)

18 -6 E Dundee Rd
Suite 140
Barrington, IL 60010-7404
Phone (847) 748-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.018244ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jan 26, 2024 Accepting new patients
J B Day, Inc. Clinical CurrentSince Apr 19, 2021 Accepting new patients

Locations

18-6 E Dundee Rd
Ste 140
Barrington, IL 60010
Phone (847) 748-1100

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

Organizations & group practices 2

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1053979245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W EASTMAN ST STE 305",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045950",
            "telephone_number": "847-946-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W EASTMAN ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045937",
            "telephone_number": "847-946-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "DEBORA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.