Individual provider Active NPI

Judy Marie Kramer, LCSW

  • Clinical Social Worker
  • Bolingbrook, IL
National Provider Identifier
1366752081
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149008538 Issued in IL
Practice address
440 W Boughton Rd
#104
Bolingbrook, IL 60440-1892
Phone
(331) 318-1881
Fax
(630) 863-7293
NPI assigned
Oct 15, 2010
Last updated
Apr 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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 149008538 IL Primary

Addresses

Primary practice location

440 W Boughton Rd
#104
Bolingbrook, IL 60440-1892

Mailing address

440 W Boughton Rd
#104
Bolingbrook, IL 60440-1892
Phone (331) 318-1881

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
I20170421000165 IL Practitioner - Clinical Social Worker 4587940838 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Clinic PLLC Clinical CurrentSince Nov 7, 2022 Accepting new patients
Clarity Clinic Arlington Heights, LLC CurrentSince Nov 7, 2022 Accepting new patients
Advocate North Side Health Network CurrentSince Jan 21, 2026 Accepting new patients
Counseling Solutions, Inc CurrentSince Dec 4, 2023 Accepting new patients
Advocate North Side Health Network CurrentSince Jan 21, 2026 Accepting new patients

Locations

1 E Superior St
Ste 306
Chicago, IL 60611
Phone (312) 754-9404

333 N Michigan Ave
Ste 1400
Chicago, IL 60601
Phone (312) 815-9660

4255 N Honore St
Ste 216
Chicago, IL 60613
Phone (773) 271-1400

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

501 Davis St
Evanston, IL 60201
Phone (312) 546-4193

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1366752081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W BOUGHTON RD",
            "address_2": "#104",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401892",
            "telephone_number": "331-318-1881",
            "fax_number": "630-863-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W BOUGHTON RD",
            "address_2": "#104",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401892",
            "telephone_number": "331-318-1881",
            "fax_number": "630-863-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "JUDY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.