Jodi Kautz, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.104486 Issued in IL

Practice address

618 W 5TH Ave
Naperville, IL 60563-4836

Phone

(630) 992-0285

NPI assigned

Sep 15, 2020

Last updated

Sep 15, 2020By 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)

Not enrolled

State licenses

Practice roles

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.

• Ivy Lane Counseling

  • Professional Counselor
  • Naperville, IL
  • NPI 1881159077
  NPD (past)

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1225643356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 FOREST AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404321",
            "telephone_number": "630-992-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W 5TH AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634836",
            "telephone_number": "630-992-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUTZ",
        "first_name": "JODI",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.104486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajinder Kaur, O.D.
• Ramandeep Kaur
• Sandeep Kaur, FNP-BC
• Ratish Kaura, M.D.
• Shivtej Singh Kaushal, M.D.
• Kaveh N. Adel, D.D.S., P.C. (Naperville Family Dental care)
• Mohan J. Kavuri, M.D.
• Bassam Kawadry, MD
• Dorota Kawczynska-Pstrucha, PT
• Stephanie Kay, M.D.

• Social Worker in Naperville, IL
• Providers in Naperville, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.