Organization Active NPI

Allen Newkirk LCSW

  • Clinical Social Worker
  • Oak Brook, IL
National Provider Identifier
1295074995
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-007096 Issued in IL
Legal business name
ALLEN NEWKIRK LCSW
Practice address
2625 Butterfield Rd Ste 103W
Oak Brook, IL 60523-3418
Phone
(630) 202-3322
Fax
(630) 241-3989
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Mr. Allen W Newkirk, MSW
Title
Owner
Phone
(630) 202-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149-007096 IL Primary

Addresses

Primary practice location

2625 Butterfield Rd Ste 103W
Oak Brook, IL 60523-3418

Mailing address

2625 Butterfield Rd Ste 103W
Oak Brook, IL 60523-3418
Phone (630) 202-3322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1295074995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 103W",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605233418",
            "telephone_number": "630-202-3322",
            "fax_number": "630-241-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 103W",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605233418",
            "telephone_number": "630-202-3322",
            "fax_number": "630-241-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN NEWKIRK LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "NEWKIRK",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-202-3322",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-007096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.