Kenneth Chubinsky, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.023711 Issued in IL

Practice address

2545 W Diversey Ave Ste 217
Chicago, IL 60647-7408

Phone

(914) 400-9044

NPI assigned

Nov 24, 2021

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1275290264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4149 N KIMBALL AVE # 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182319",
            "telephone_number": "708-303-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 W DIVERSEY AVE STE 217",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606477408",
            "telephone_number": "914-400-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUBINSKY",
        "first_name": "KENNETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-24",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merlyn Serrano Chua
• Serafin Chua, M.D.
• Eric J Chuang, M.D.
• Hsin I Chuang, MD
• Marc Shi-Jey Chuang, M.D.
• Abby Chucka
• Debra Chudzik
• Sophie Chudzynski, CMA
• Ashwin Chugh, LCSW
• Asima Chughtai

• All providers in Chicago, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.