Active NPI
William J. Kern
- Clinical Social Worker
- Oak Park, IL
National Provider Identifier
1255801122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.013506
- Practice address
- 237 S Maple Ave
Oak Park, IL 60302-3007 - Phone
- (708) 427-6733
- NPI assigned
- Dec 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.013506 | IL | Primary |
Addresses
Primary practice location
237 S Maple Ave
Oak Park, IL 60302-3007
Mailing address
237 S Maple Ave
Oak Park, IL 60302-3007
Phone (708) 427-6733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.013506 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1255801122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 S MAPLE AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603023007",
"telephone_number": "708-427-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 S MAPLE AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603023007",
"telephone_number": "708-427-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERN",
"first_name": "WILLIAM",
"middle_name": "J.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-04",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.013506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.