K Reid Surmeier, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4900814 Issued in IL

Legal business name

K REID SURMEIER, PC

Practice address

4636 N. Ravenswood Ave
2ND Floor
Chicago, IL 60640-4581

Phone

(773) 844-1058

NPI assigned

Sep 11, 2012

Last updated

Sep 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Katherine Reid Surmeier, LCSW

Title

President

Phone

(773) 844-1058

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1346590916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 N. RAVENSWOOD AVE",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4636 N. RAVENSWOOD AVE",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404581",
            "telephone_number": "773-844-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K REID SURMEIER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "SURMEIER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "REID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-844-1058",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "4900814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Sep 11, 2012; 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.