Kary Pekarek, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.013249 Issued in IL

Practice address

5950 Lincoln Ave
Unit W
Lisle, IL 60532-3388

Phone

(630) 541-8930

Fax

(630) 541-8940

NPI assigned

Nov 14, 2013

Last updated

Feb 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samaritan Interfaith Counseling Center IncGroup PAC ID 8426014994, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Samaritan Interfaith Counseling Center Inc.

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1497842983
  Medicare reassignment Care Compare group NPD
• Samaritan Counseling Center

  • Marriage & Family Therapist
  • Winnetka, IL
  • NPI 1841397353
  NPD (past)
• Wellspring Clinical Associates, Inc.

  • Psychiatry Physician
  • Lisle, IL
  • NPI 1164562609
  NPD (past)

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1316377120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24008 WALNUT CIR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852498",
            "telephone_number": "630-456-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 LINCOLN AVE",
            "address_2": "UNIT W",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323388",
            "telephone_number": "630-541-8930",
            "fax_number": "630-541-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKAREK",
        "first_name": "KARY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priyanka Patel
• Pathways Behavioral Health Network, LLC
• Paul J. Capriotti, M.D.,S.C.
• Heather Paulis, MPT
• Pediatric Eye Specialists
• Joseph Pepitone, MD
• Personal Growth Psychiatry PLLC (Growth Behavioral Health)
• Ashley Peters, FNP-C
• Grazyna Gabriela Petersen, LCSW, CADC
• Ann Marie Peterson, LSW

• Clinical Social Worker in Lisle, IL
• Providers in Lisle, 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 Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.