Individual provider Active NPI

Kathryn Dana Livingston, LCSW

  • Clinical Social Worker
  • Glenview, IL
National Provider Identifier
1114363231
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.007526 Issued in IL
Practice address
1322 Brook LN
Glenview, IL 60025-2318
Phone
(847) 729-2482
NPI assigned
May 15, 2013
Last updated
May 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.007526 IL Primary

Addresses

Primary practice location

1322 Brook LN
Glenview, IL 60025-2318

Mailing address

1322 Brook LN
Glenview, IL 60025-2318
Phone (847) 729-2482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 14, 2023 through Dec 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.007526ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Child and Family Services Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1114363231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 BROOK LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252318",
            "telephone_number": "847-729-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 BROOK LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252318",
            "telephone_number": "847-729-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "KATHRYN",
        "middle_name": "DANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.007526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.