Individual provider Active NPI

Katherine Ann Krajci, MA

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1134290083
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149012208 Issued in IL
Practice address
710 S Paulina St
Chicago, IL 60612-3808
Phone
(312) 563-2703
Fax
(312) 942-6116
NPI assigned
Nov 13, 2006
Last updated
Aug 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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 149012208 IL Primary

Addresses

Primary practice location

710 S Paulina St
Chicago, IL 60612-3808

Mailing address

3740 N Whipple St
Chicago, IL 60618-4527
Phone (773) 844-1278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070108000370 IL Practitioner - Clinical Social Worker 0648270173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kate Krajci LCSW Psychotherapy and Consulting LLCGroup PAC ID 6406163153, 2 clinicians

Practice addresses (Care Compare)

Chicago, IL 60618
Phone (773) 916-6745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
149012208ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kate Krajci, LCSW Psychotherapy and Consulting, LLC Clinical CurrentSince Sep 4, 2015 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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1134290083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 N WHIPPLE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184527",
            "telephone_number": "773-844-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123808",
            "telephone_number": "312-563-2703",
            "fax_number": "312-942-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAJCI",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.