Individual provider Active NPI

Kristin Marlena Palmsiano

  • Social Worker
  • Oak Park, IL
National Provider Identifier
1265043269
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
212 S Marion St
Oak Park, IL 60302-3257
Phone
(312) 415-5507
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

212 S Marion St
Oak Park, IL 60302-3257

Mailing address

4525 N Ottawa Ave
Norridge, IL 60706-4516
Phone (773) 910-2395

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
I20241209000213 IL Practitioner - Clinical Social Worker 7618403148

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 W Talcott Rd
Suite 26
Park Ridge, IL 60068-5559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Daily Grind Therapy Current Accepting new patients

Locations

2 W Talcott Rd
Ste 26
Park Ridge, IL 60068
Phone (847) 231-2620

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1265043269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 N OTTAWA AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607064516",
            "telephone_number": "773-910-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S MARION ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023257",
            "telephone_number": "312-415-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMSIANO",
        "first_name": "KRISTIN",
        "middle_name": "MARLENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.