Active NPI
Kate Pellish
- Clinical Social Worker
- Skokie, IL
National Provider Identifier
1174281612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.020887
- Practice address
- 4126 Greenwood St
Skokie, IL 60076-1944 - Phone
- (847) 840-3862
- NPI assigned
- Dec 1, 2021
- Last updated
- Oct 11, 2022
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.020887 | IL | Primary |
Addresses
Primary practice location
4126 Greenwood St
Skokie, IL 60076-1944
Mailing address
4126 Greenwood St
Skokie, IL 60076-1944
Phone (847) 840-3862
Other practice location 1
450 Skokie Blvd Ste 503
Northbrook, IL 60062-7913
Phone (847) 497-8378
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 |
|---|---|---|---|
| 149.020887 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leigh Neiman Weisz, PC | Clinical | Current | Accepting new patients |
Locations
450 Skokie Blvd
Ste 503
Northbrook, IL 60062
Phone (847) 220-7707
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": "1638316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1174281612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4126 GREENWOOD ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761944",
"telephone_number": "847-840-3862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4126 GREENWOOD ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761944",
"telephone_number": "847-840-3862"
}
],
"practiceLocations": [
{
"address_1": "450 Skokie Blvd Ste 503",
"address_purpose": "LOCATION",
"city": "Northbrook",
"state": "IL",
"postal_code": "600627913",
"country_code": "US",
"telephone_number": "847-497-8378",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELLISH",
"first_name": "KATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-01",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.020887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.