Individual provider Active NPI

Keturah Brown-Barr, LSW, MSW, PEL

  • School Social Worker
  • Tinley Park, IL
National Provider Identifier
1316821820
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
2527700 Issued in IL
Practice address
18501 Maple Creek Dr Ste 200
Tinley Park, IL 60477-6779
Phone
(708) 798-4200
NPI assigned
Aug 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 2527700 IL Primary

Addresses

Primary practice location

18501 Maple Creek Dr Ste 200
Tinley Park, IL 60477-6779

Mailing address

18501 Maple Creek Dr Ste 200
Tinley Park, IL 60477-6779
Phone (708) 798-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2527700ILMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ican Dream Foundation Inc CurrentSince Aug 10, 2025 Accepting new patients
Radiant Minds Institute Corp PastSince Aug 10, 2025 Accepting new patients

Locations

18501 Maple Creek Dr
Ste 200
Tinley Park, IL 60477
Phone (708) 263-4253

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1316821820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18501 MAPLE CREEK DR STE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776779",
            "telephone_number": "708-798-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18501 MAPLE CREEK DR STE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776779",
            "telephone_number": "708-798-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-BARR",
        "first_name": "KETURAH",
        "credential": "LSW, MSW, PEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": "2527700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.