Individual provider Active NPI

Julie Kyle, LCSW, LMT

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1134584022
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011405 Issued in IL
Practice address
1502 W Chicago Ave
Chicago, IL 60642-5236
Phone
(312) 339-8604
NPI assigned
Dec 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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 149011405 IL Primary

Addresses

Primary practice location

1502 W Chicago Ave
Chicago, IL 60642-5236

Mailing address

2735 Hassert Blvd Ste 135-301
Naperville, IL 60564-5204
Phone (312) 339-8604

Other practice location 1

360 W Hubbard St Apt 3009
Chicago, IL 60654
Phone (312) 339-8604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149011405ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Practices PLLC CurrentSince Apr 3, 2022 Accepting new patients

Locations

206 N Randolph St
Ste 2
Champaign, IL 61820
Phone (540) 892-0910

1502 W Chicago Ave
Chicago, IL 60642
Phone (312) 243-4840

1332 N Halsted St
Ste 201
Chicago, IL 60642
Phone (312) 339-8604

4250 N Marine Dr
Ste 230
Chicago, IL 60613
Phone (773) 362-5277

30 N Michigan Ave
Ste 901
Chicago, IL 60602
Phone (312) 339-8604

1407 W Chicago Ave
Chicago, IL 60642
Phone (312) 339-8604

2735 Hassert Blvd
Ste 135301
Naperville, IL 60564
Phone (312) 339-8604

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1134584022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 HASSERT BLVD STE 135-301",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645204",
            "telephone_number": "312-339-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425236",
            "telephone_number": "312-339-8604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 W Hubbard St Apt 3009",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60654",
            "country_code": "US",
            "telephone_number": "312-339-8604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYLE",
        "first_name": "JULIE",
        "credential": "LCSW, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.