Individual provider Active NPI

Katherine Born, LSW

  • Social Worker
  • Lake Bluff, IL
National Provider Identifier
1063149987
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150108448 Issued in IL
Practice address
100 N Waukegan Rd Ste 204
Lake Bluff, IL 60044-1660
Phone
(847) 821-9346
NPI assigned
Aug 2, 2022
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150108448 IL Primary

Addresses

Primary practice location

100 N Waukegan Rd Ste 204
Lake Bluff, IL 60044-1660

Mailing address

854 Ridge Ave Apt 3
Evanston, IL 60202-1794
Phone (770) 815-0151

Other practice location 1

34121 N US Highway 45 Ste 221
Grayslake, IL 60030-1774
Phone (847) 821-9346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150108448ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
White Stone Partners LLC CurrentSince Aug 7, 2022 Accepting new patients

Locations

34121 N US Highway 45
Ste 221
Grayslake, IL 60030
Phone (847) 271-7504

100 N Waukegan Rd
Ste 204
Lake Bluff, IL 60044
Phone (224) 252-4951

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1063149987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 RIDGE AVE APT 3",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021794",
            "telephone_number": "770-815-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WAUKEGAN RD STE 204",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441660",
            "telephone_number": "847-821-9346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34121 N US Highway 45 Ste 221",
            "address_purpose": "LOCATION",
            "city": "Grayslake",
            "state": "IL",
            "postal_code": "600301774",
            "country_code": "US",
            "telephone_number": "847-821-9346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORN",
        "first_name": "KATHERINE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150108448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.