Active NPI
Kristina L Anderson, CSSW
- School Social Worker
- Chicago, IL
National Provider Identifier
1144017096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 702747
- Practice address
- 1720 S Michigan Ave Apt 1902
Chicago, IL 60616-4840 - Phone
- (708) 288-1875
- NPI assigned
- Apr 23, 2025
- Last updated
- Apr 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 702747 | IL | Primary |
Addresses
Primary practice location
1720 S Michigan Ave Apt 1902
Chicago, IL 60616-4840
Mailing address
1720 S Michigan Ave Apt 1902
Chicago, IL 60616-4840
Phone (708) 288-1875
Other names 1
- Kristina L Smith-Ross
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
| License | State | Type | Specialty |
|---|---|---|---|
| 702747 | IL | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1144017096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 S MICHIGAN AVE APT 1902",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606164840",
"telephone_number": "708-288-1875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 S MICHIGAN AVE APT 1902",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606164840",
"telephone_number": "708-288-1875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KRISTINA",
"middle_name": "L",
"credential": "CSSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-23",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": "IL",
"license": "702747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "SMITH-ROSS",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.