Peggy Longman Kepple, MSW,LCSW, CADC, GC-C

Primary specialty

Social WorkerTaxonomy code 104100000X

License

149.022225 Issued in IL

Practice address

Positive Sobriety Institute
680 N. Lake Shore Dr. Suite 800
Chicago, IL 60611

Phone

(312) 642-7230

Fax

(312) 642-7055

NPI assigned

Jun 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Margaret Marie Longman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• PLK, LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1588334213
  NPD Authorized official

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590192000000",
    "number": "1104311745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RIVERMEND HEALTH / POSITIVE SOBRIETY INSTITUTE",
            "address_2": "680 N. LAKESHORE DR. SUITE 800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-642-7230",
            "fax_number": "312-642-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POSITIVE SOBRIETY INSTITUTE",
            "address_2": "680 N. LAKE SHORE DR. SUITE 800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-642-7230",
            "fax_number": "312-642-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPPLE",
        "first_name": "PEGGY",
        "middle_name": "LONGMAN",
        "name_prefix": "Mrs.",
        "credential": "MSW,LCSW, CADC, GC-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149.022225",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "34557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "LONGMAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenzmi Health
• Golie Roshandel Keovan, O.D.
• Danielle N Kepler
• Dennis Lee Keppeler, LCSW
• Ana L Keppke, M.D.
• Megan Keppler
• Laura Keprta
• Alexa Keramidas, PH.D.
• Abby Kerbis
• David Kerbow

• Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; 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.