Karin McNicholas

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

425 S Main St
Lombard, IL 60148-2697

Phone

(630) 629-0297

Fax

(630) 629-7107

NPI assigned

Apr 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386766897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482697",
            "telephone_number": "630-629-0297",
            "fax_number": "630-629-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S MAIN ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482697",
            "telephone_number": "630-629-0297",
            "fax_number": "630-629-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNICHOLAS",
        "first_name": "KARIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Craig McCune, M.D.
• Jephthat McDaniel
• Maria Romano McGann, D.O.
• Briana McGraw
• Whitney Lane McMahan, LCSW
• Ashley Nicole Meadows
• Natalie Mecum, P.A.-C.
• Medcore Equipment LLC
• Brian Medernach, BRIAN MEDERNACH
• Medexpress Urgent Care Illinois, P.C. (MedExpress Urgent Care - Lombard, E Roosevelt Rd)

• Clinical Social Worker in Lombard, IL
• Providers in Lombard, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.