Organization Active NPI

Karen Greenberg Limited

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1104390483
Registry record updated May 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KAREN GREENBERG LIMITED
Practice address
708 Church St Ste 247
Evanston, IL 60201-3840
Phone
(312) 278-3416
NPI assigned
Jan 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2021

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

Authorized official

Name
Karen Greenberg, LCSWNPI 1144414210
Title
Owner/Therapist
Phone
(312) 278-3416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

708 Church St Ste 247
Evanston, IL 60201-3840

Mailing address

800 Custer Ave Ste 5
Evanston, IL 60202-2273
Phone (312) 278-3416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190806002231 IL Part B Supplier - Clinic/Group Practice 7911234588 Receives reassigned benefits from 1 practitioner
Practice locations: Evanston, IL

National Provider Directory

National Provider Directory

Locations

800 Custer Ave
Ste 5
Evanston, IL 60202
Phone (312) 278-3416

708 Church St
Ste 247
Evanston, IL 60201
Phone (312) 227-8341

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622332800000",
    "number": "1104390483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CUSTER AVE STE 5",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022273",
            "telephone_number": "312-278-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 CHURCH ST STE 247",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013840",
            "telephone_number": "312-278-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN GREENBERG LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-19",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "312-278-3416",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.