Deborah L Kivett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149010755 Issued in IL

Practice address

745 S 8TH St
West Dundee, IL 60118-2108

Phone

(800) 428-7260

Fax

(847) 428-7269

NPI assigned

Mar 7, 2007

Last updated

Apr 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Mathers Clinic LLCGroup PAC ID 7214111582, 21 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edgewood Clinical Services, P.C.

  dba LifeStance

  • Psychologist
  • Naperville, IL
  • NPI 1295914646

  Clinical

  Medicare reassignment Care Compare group NPD
• Mathers Clinic LLC

  dba Mathers Clinic

  • Psychiatry Physician
  • Crystal Lake, IL
  • NPI 1316237530
  Medicare reassignment Care Compare group NPD
• The Mathers Clinic LLC

  • Community/Behavioral Health Agency
  • Woodstock, IL
  • NPI 1316307259
  NPD
• Mathers Clinic, LLC

  • Child & Adolescent Psychiatry Physician
  • Rockford, IL
  • NPI 1215194519
  NPD (past)
• Professional Consultations, Inc.

  • Community/Behavioral Health Agency
  • West Dundee, IL
  • NPI 1164553566
  NPD (past)
• Psychology Specialists LTD

  dba LifeStance Health

  • Clinical Psychologist
  • Bloomington, IL
  • NPI 1053368605
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1265562094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S VIRGINIA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147226",
            "telephone_number": "800-428-7260",
            "fax_number": "847-428-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 S 8TH ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182108",
            "telephone_number": "800-428-7260",
            "fax_number": "847-428-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIVETT",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Kate Kazlauskas
• Rachel Kearley
• Marie Kilvington, LCSW
• King Family Wellness LLC
• Katie S King, D.C.
• Janice Pulchart Knapp, LCSW
• David C Kolbaba, D.C., CCN, DACBN
• Arash Koochek, M.D.
• James John Kotleba, LIC CLINICAL PSYCHOL
• Klaudia Kulpa-Lindgren, OT

• Clinical Social Worker in West Dundee, IL
• Providers in West Dundee, 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 Apr 21, 2016; 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.