Active NPI
KLR Family Services LLC
- Clinical Social Worker
- Glenview, IL
National Provider Identifier
1194112680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.016208
- Legal business name
- KLR FAMILY SERVICES LLC
- Practice address
- 2401 Ravine Way
Suite 101
Glenview, IL 60025-7645 - Phone
- (847) 894-4802
- NPI assigned
- Apr 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathy Rake, LCSW
- Title
- Principal
- Phone
- (847) 894-4802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.016208 | IL | Primary |
Addresses
Primary practice location
2401 Ravine Way
Suite 101
Glenview, IL 60025-7645
Mailing address
1380 Crest Rd
Libertyville, IL 60048-1515
Phone (847) 894-4802
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1497040539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445212800000",
"number": "1194112680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 CREST RD",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600481515",
"telephone_number": "847-894-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 RAVINE WAY",
"address_2": "SUITE 101",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600257645",
"telephone_number": "847-894-4802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KLR FAMILY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-22",
"last_updated": "2015-10-19",
"status": "A",
"authorized_official_last_name": "RAKE",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "847-894-4802",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.016208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.