Organization Active NPI

Kate Krajci, LCSW Psychotherapy and Consulting, LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1306213962
Registry record updated Aug 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.012208 Issued in IL
Legal business name
KATE KRAJCI, LCSW PSYCHOTHERAPY AND CONSULTING, LLC
Practice address
25 E Washington St
Suite 2003
Chicago, IL 60602-1708
Phone
(773) 916-6745
NPI assigned
Aug 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2015

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

Authorized official

Name
Katherine A. Krajci, MA LCSWNPI 1134290083
Title
Manager
Phone
(773) 844-1278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149.012208 IL Primary

Addresses

Primary practice location

25 E Washington St
Suite 2003
Chicago, IL 60602-1708

Mailing address

3740 N Whipple St
Chicago, IL 60618-4527
Phone (773) 844-1278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150914001898 IL Part B Supplier - Clinic/Group Practice 6406163153 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1440806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440806400000",
    "number": "1306213962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 N WHIPPLE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184527",
            "telephone_number": "773-844-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST",
            "address_2": "SUITE 2003",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021708",
            "telephone_number": "773-916-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATE KRAJCI, LCSW PSYCHOTHERAPY AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-29",
        "last_updated": "2015-08-29",
        "status": "A",
        "authorized_official_last_name": "KRAJCI",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-844-1278",
        "authorized_official_credential": "MA LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.