Krystina M Starkey, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022895 Issued in IL

Practice address

4320 Winfield Rd Ste 200
Warrenville, IL 60555-4023

Phone

(815) 303-3797

NPI assigned

Jan 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Krystina M Freehill Former name

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": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1295030146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 WINFIELD RD STE 200",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554023",
            "telephone_number": "815-303-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WINFIELD RD STE 200",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554023",
            "telephone_number": "815-303-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKEY",
        "first_name": "KRYSTINA",
        "middle_name": "M",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022895",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "34573",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTINA",
            "last_name": "FREEHILL",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Soon Ja Choi, MD
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• Cassandra Marie Spaccapaniccia, PHARM D
• Alexa Victoria Spellman, EP
• Robert Dennis Stalley, APN
• Madison Steele
• Jacob Steffes, DPT
• Megan Kalin Steinhoff, MA
• Brian D Steinke, M.D.
• Jaclyn Stellato

• Clinical Social Worker in Warrenville, IL
• Providers in Warrenville, 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 May 23, 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.