Katelyn Dircks

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KATELYN DIRCKS

Doing business as

Katelyn Dircks

Practice address

8 Heritage Dr
Bourbonnais, IL 60914-2514

Phone

(708) 743-1136

NPI assigned

Apr 15, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Katelyn E Dircks, MSW, LCSWNPI 1265013668

Title

Clinical Social Worker

Phone

(708) 743-1136

Specialties & licenses 1

Addresses

Other names 1

• Katelyn Dircks Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katelyn E Dircks, MSW, LCSW

  • Clinical Social Worker
  • Bourbonnais, IL
  • NPI 1265013668
  NPD Authorized official

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1306427083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 GUINEVERE LN",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609149784",
            "telephone_number": "708-743-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HERITAGE DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142514",
            "telephone_number": "708-743-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATELYN DIRCKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "DIRCKS",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "708-743-1136",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katelyn Dircks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kankakee Radiation Oncology LLC
• Kankakee Terrace Operator LLC
• Kankakee Valley Oral Maxillofacial Surgery PC
• Matthew Kaplan, DO
• Craig T Karvala, D.C.
• Katelyn E. Dircks, LCSW, PLLC
• Jeffrey David Kazmierczak, PSY.D
• Amy N Kearney, PTA
• Keaton El-Talabani Counseling, PLLC
• Gregory Keel

• Clinical Social Worker in Bourbonnais, IL
• Providers in Bourbonnais, 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 Apr 15, 2021; 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.