Kevin Ockrim, LSW

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

License

150.110484 Issued in IL

Practice address

501 Davis St
Evanston, IL 60201-4619

Phone

(312) 815-9660

NPI assigned

May 18, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Clarity Clinic PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1063803856
  NPD

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1093406159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 TOWER DR UNIT 218",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600265824",
            "telephone_number": "847-636-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DAVIS ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014619",
            "telephone_number": "312-815-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCKRIM",
        "first_name": "KEVIN",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "150.110484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer C. Obel, MD
• Kimberly Obereiner, CRNA
• Dipika Oberoi, MD
• Jacob R. Oberwetter, MD
• Samantha N. Ocampo, APN-CRNA
• Mary Alice Off
• Moses Oh
• Amaechi Francis Ohaja, NURSE PRACTITIONER
• Uchenna Genevieve Ohajunwa, MS, RD, LDN
• Ifeoma Chinyere Okorafor-Chidume, D.C.

• School Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• School Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.