Kathryn S Merkle, LCSW, MPH, RDN, LDN

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.024066 Issued in IL

Practice address

3921 N Lincoln Ave
Chicago, IL 60613-2417

Phone

(312) 533-0707

Fax

(312) 873-4003

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

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 and National Provider Directory roles.

• Nourishment Works PC

  • Registered Dietitian
  • Chicago, IL
  • NPI 1881169027

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1285681080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132417",
            "telephone_number": "312-533-0707",
            "fax_number": "312-873-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132417",
            "telephone_number": "312-533-0707",
            "fax_number": "312-873-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKLE",
        "first_name": "KATHRYN",
        "middle_name": "S",
        "credential": "LCSW, MPH, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.005634",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Ryan Merk, MD
• Hailey Christa Merk, MSM, MMS, PA-C
• Andrew Merker, PHARMD
• Jasminka Merkin, M.D.
• Janice R Merkle, RN
• Ryan P Merkow, MD
• Diane M Merkt
• Yesenia Merlan
• Monett Lizeth Merle, MD
• Dante Joseph Merlino, MD, PHD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Feb 18, 2022; 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.