Active NPI
Karen Greenberg Limited
- Clinical Social Worker
- Evanston, IL
National Provider Identifier
1104390483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Greenberg, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Evanston, IL
- NPI 1144414210
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.