Individual provider Active NPI

Kerry Voss, LCSW

  • Clinical Social Worker
  • Elgin, IL
National Provider Identifier
1336639632
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149017482 Issued in IL
Practice address
2050 Larkin Ave
Elgin, IL 60123-4405
Phone
(847) 697-2400
Fax
(847) 697-2438
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149017482 IL Primary

Addresses

Primary practice location

2050 Larkin Ave
Elgin, IL 60123-4405

Mailing address

55 Golfview Rd
Lake Zurich, IL 60047-1275
Phone (221) 392-9507

Other practice location 1

1710 N Randall Rd Ste 100
Elgin, IL 60123-9401
Phone (847) 695-6191

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180912003607 IL Practitioner - Clinical Social Worker 1951651942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Psychiatry and Counseling, PCGroup PAC ID 8022092667, 14 clinicians

Practice addresses (Care Compare)

2050 Larkin Ave
Suite 202
Elgin, IL 60123-5899
Phone (847) 697-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Psychiatry and Counseling, PC CurrentSince Jul 24, 2018 Accepting new patients

Locations

1710 N Randall Rd
Ste 100
Elgin, IL 60123
Phone (312) 961-9974

2050 Larkin Ave
Elgin, IL 60123
Phone (847) 697-2400

2050 Larkin Ave
Ste 202
Elgin, IL 60123
Phone (708) 697-2400

Organizations & group practices 1

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": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1336639632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 GOLFVIEW RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600471275",
            "telephone_number": "221-392-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 LARKIN AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234405",
            "telephone_number": "847-697-2400",
            "fax_number": "847-697-2438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 N Randall Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601239401",
            "country_code": "US",
            "telephone_number": "847-695-6191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOSS",
        "first_name": "KERRY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.