Allen Newkirk LCSW

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

Last updated

Jan 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Allen W Newkirk, MSWNPI 1407914484

Title

Owner

Phone

(630) 202-3322

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allen W Newkirk, MSW

  • Clinical Social Worker
  • Oak Brook, IL
  • NPI 1407914484
  Authorized official Same address or phone

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": []
}

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• Clinical Social Worker in Oak Brook, IL
• Providers in Oak Brook, 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 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.