Active NPI
Kelly Kaminski
- Social Worker
- Schaumburg, IL
National Provider Identifier
1285491993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.113294
- Practice address
- 321 S Barrington Rd
Schaumburg, IL 60193-5345 - Phone
- (815) 469-1500
- NPI assigned
- Feb 29, 2024
- Last updated
- Aug 15, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.113294 | IL | Primary |
Addresses
Primary practice location
321 S Barrington Rd
Schaumburg, IL 60193-5345
Mailing address
10647 Mayfield LN
Huntley, IL 60142-4057
Phone (224) 715-1939
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.113294 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1285491993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10647 MAYFIELD LN",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601424057",
"telephone_number": "224-715-1939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 S BARRINGTON RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601935345",
"telephone_number": "815-469-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINSKI",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-29",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.113294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.