Kristin Sears, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015867 Issued in IL

Practice address

455 E Main St
East Dundee, IL 60118-1529

Phone

(708) 400-3448

NPI assigned

Feb 22, 2016

Last updated

Apr 11, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1184083933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E MAIN ST",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601181529",
            "telephone_number": "708-400-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E MAIN ST",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601181529",
            "telephone_number": "708-400-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "KRISTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safeway Inc (Dominicks)
• Karina Sanchez-Collazo, CMA
• Tricia Saviano, MA, LCPC
• Jeanette Schafer, PT
• Elizabeth Jones Schaub, N.P.
• Pranavkumar Pradyuman Shroff, M.D.
• Jamie Sonnenberg
• Timothy John Tamas, DDS
• Janine Tanner, APN
• Testative

• Clinical Social Worker in East Dundee, IL
• Providers in East Dundee, 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 Apr 11, 2017; 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.