Kimberly Sloan Hassenfeld, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012552 Issued in IL

Practice address

1608 N Milwaukee Ave
Suite 709
Chicago, IL 60647-5456

Phone

(773) 531-6808

NPI assigned

Feb 29, 2008

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Counseling Center of the North Shore IncGroup PAC ID 5597762310, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Counseling Center of the North Shore, Inc.

  • Clinical Psychologist
  • Winnetka, IL
  • NPI 1205841954
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1255501680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2267 N KEDZIE BLVD # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472561",
            "telephone_number": "773-862-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 N MILWAUKEE AVE",
            "address_2": "SUITE 709",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475456",
            "telephone_number": "773-531-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSENFELD",
        "first_name": "KIMBERLY",
        "middle_name": "SLOAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Hassanein, M.D.
• Parisa Hassanzadeh, MD
• Megan Hasse, PT, DPT
• Jacob Hasselbach, MD
• Amanda L Hasseltine
• Hassett Health & Physical Therapy PLLC
• Mollie B. Hassett, CRNA
• Sean Hassett, DPT
• Jayah Hasson, DPT
• Howard Hast, M.D.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.