Individual provider Active NPI

Karen L Holtzberg, LCSW

  • Clinical Social Worker
  • Lombard, IL
National Provider Identifier
1336894542
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011178 Issued in IL
Practice address
477 E Butterfield Rd Ste 408
Lombard, IL 60148-4881
Phone
(630) 909-9094
NPI assigned
Feb 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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 149011178 IL Primary

Addresses

Primary practice location

477 E Butterfield Rd Ste 408
Lombard, IL 60148-4881

Mailing address

2650 N Lakeview Ave Apt 1703
Chicago, IL 60614-1872
Phone (773) 562-8386

Other identifiers 1

IdentifierTypeStateIssuer
149011178OtherILSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1336894542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 N LAKEVIEW AVE APT 1703",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141872",
            "telephone_number": "773-562-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD STE 408",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484881",
            "telephone_number": "630-909-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZBERG",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "149011178",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.