Kathy McNulty, LCSW, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149-004463 Issued in IL

Legal business name

KATHY MCNULTY, LCSW, LLC

Practice address

2100 Manchester Rd
Suite 400
Wheaton, IL 60187

Phone

(630) 664-6036

NPI assigned

Jun 23, 2016

Last updated

Aug 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy McNulty, LCSW

Title

Owner

Phone

(630) 664-6036

Specialties & licenses 1

Addresses

Other identifiers 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, and the practitioner matching its NPPES authorized official.

• Kathleen S McNulty, LCSW

  • Clinical Social Worker
  • Wheaton, IL
  • NPI 1124187596
  Medicare reassignment

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1215388939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD SUITE 400",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "630-664-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD",
            "address_2": "SUITE 400",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "630-664-6036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Fairfield Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bloomingdale",
            "state": "IL",
            "postal_code": "601081555",
            "country_code": "US",
            "telephone_number": "630-664-6036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATHY MCNULTY, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-664-6036",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149-004463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "149-004463",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Karsa
• Pamela Kasab, DPT
• Jaclyn Kaspzyk, PT, DPT
• Kathryn Asha Thumme & Associates LLC
• Kathy Lam DDS, LLC
• Katie a Diehl Counseling, LLC
• Geraldine Joyce Katz-Atkin, LCSW
• Robert Kevin Kauffman
• Parminder Kaur
• Padmini Kaushal, M.D.

• Community/Behavioral Health Agency in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.