Ujima Living LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

UJIMA LIVING LLC

Practice address

4016 Gregory Dr
Zion, IL 60099-1342

Phone

(262) 308-3004

NPI assigned

Apr 16, 2024

Organization subpart

No

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

Authorized official

Name

Krystal Roberts, LCSWNPI 1356093678

Title

Owner & Therapist

Phone

(262) 383-5420

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krystal Roberts, LCSW

  • Clinical Social Worker
  • Kenosha, WI
  • NPI 1356093678
  NPD Authorized official

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1093569022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 GREGORY DR",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600991342",
            "telephone_number": "262-308-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 GREGORY DR",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600991342",
            "telephone_number": "262-308-3004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7721 Pershing Blvd",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531424319",
            "country_code": "US",
            "telephone_number": "262-308-3004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UJIMA LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "OWNER & THERAPIST",
        "authorized_official_telephone_number": "262-383-5420",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Josselyn Center NFP
• Robert W Thumme, DO
• Guy Torres
• Kristen Trukova, PA-C, RD
• Michael Eugene Uhl, LMFT
• Unique Care Surgical Inc
• Lori Vanhorn, DNP. MSN, RN, APNP
• Nancy Vargas
• Pankaj G Vashi, M.D.
• Jane Vaysberg, NP-C

• Clinical Social Worker in Zion, IL
• Providers in Zion, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.