Individual provider Active NPI

Kristen Rexha

  • Clinical Social Worker
  • Oswego, IL
National Provider Identifier
1265027452
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.018839 Issued in IL
Practice address
64 Main St
Oswego, IL 60543-9893
Phone
(630) 519-1010
NPI assigned
Mar 9, 2021
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.018839 IL Primary

Addresses

Primary practice location

64 Main St
Oswego, IL 60543-9893

Mailing address

64 Main St
Oswego, IL 60543-9893
Phone (630) 519-1010

Other practice location 1

15003 S Route 59
Plainfield, IL 60544-2730
Phone (630) 519-1010

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Oswego

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210401001206 IL Practitioner - Clinical Social Worker 3173930401 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.018839ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Creek Consulting, Inc. Clinical CurrentSince Feb 12, 2025 Accepting new patients
Building Resilience PLLC Clinical Current Accepting new patients
Oswego Wellness, Inc CurrentSince Mar 25, 2021 Accepting new patients

Locations

64 Main St
Oswego, IL 60543
Phone (630) 519-1010

15003 S Route 59
Plainfield, IL 60544
Phone (630) 519-1010

2501 Chatham Rd
Springfield, IL 62704
Phone (312) 625-0078

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1265027452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MAIN ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439893",
            "telephone_number": "630-519-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 MAIN ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439893",
            "telephone_number": "630-519-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15003 S Route 59",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605442730",
            "country_code": "US",
            "telephone_number": "630-519-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REXHA",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Oswego",
            "affiliation": "N",
            "address_1": "64 Main St",
            "city": "Oswego",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605439893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.