Nancy R Krtek, LCSW, Counseling and Consultation PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NANCY R KRTEK, LCSW, COUNSELING AND CONSULTATION PLLC

Practice address

473 Dunham Rd Ste 216
St Charles, IL 60174-1423

Phone

(716) 359-6402

NPI assigned

Aug 16, 2019

Organization subpart

No

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

Authorized official

Name

Nancy R Krtek, LCSWNPI 1013040005

Title

Ceo

Phone

(716) 359-6402

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Nancy Robin Krtek

  • Clinical Social Worker
  • St Charles, IL
  • NPI 1013040005
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1134775885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 DUNHAM RD STE 216",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741423",
            "telephone_number": "716-359-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 DUNHAM RD STE 216",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741423",
            "telephone_number": "716-359-6402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4955 N Bailey Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142261206",
            "country_code": "US",
            "telephone_number": "716-359-6402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NANCY R KRTEK, LCSW, COUNSELING AND CONSULTATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "KRTEK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-359-6402",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drnancy@mindbodypractitioner.com",
            "affiliation": "N",
            "address_1": "473 Dunham Rd Ste 216",
            "city": "St Charles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601741423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in St Charles, IL
• Providers in St Charles, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.