Kyle Wade Parmelee, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018710 Issued in IL

Practice address

1113 S Milwaukee Ave
Suite 104
Libertyville, IL 60048-3758

Phone

(847) 367-5991

Fax

(847) 367-5997

NPI assigned

Aug 9, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1396178646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 S MILWAUKEE AVE",
            "address_2": "SUITE 104",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483758",
            "telephone_number": "847-367-5991",
            "fax_number": "847-367-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 S MILWAUKEE AVE",
            "address_2": "SUITE 104",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483758",
            "telephone_number": "847-367-5991",
            "fax_number": "847-367-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMELEE",
        "first_name": "KYLE",
        "middle_name": "WADE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-09",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018710",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150015189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3217639118001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Park Rheumatology, LLC
• Danbee A Park, APN
• Carolyn Parker, M.A.
• Emma Elizabeth Parker, BA
• James Everett Parkhill, DMD
• Jon Pascua, M.D.
• Renee Selene Pasillas
• Shelley J. Pasma, M.A., L.C.P.C.
• Mikin Virendra Patel, MD
• Nisha D Patel, MD

• Clinical Social Worker in Libertyville, IL
• Providers in Libertyville, 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 Nov 8, 2016; 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.