Individual provider Active NPI

Kristin Elise Weeks, LCSW

  • Clinical Social Worker
  • Crystal Lake, IL
National Provider Identifier
1407156904
Registry record updated Oct 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149012931 Issued in IL
Practice address
918 Glasgow LN
Crystal Lake, IL 60014-1904
Phone
(815) 459-1682
NPI assigned
Oct 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2010

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 149012931 IL Primary

Addresses

Primary practice location

918 Glasgow LN
Crystal Lake, IL 60014-1904

Mailing address

918 Glasgow LN
Crystal Lake, IL 60014-1904
Phone (815) 459-1682

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
I20110214000655 IL Practitioner - Clinical Social Worker 9234319864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians

Practice addresses (Care Compare)

12140 A Regency Pkwy
Huntley, IL 60142-7554
Phone (847) 961-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Journeycare, Inc CurrentSince Aug 1, 2018 Accepting new patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Mar 1, 2023 Accepting new patients
Journeycare, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Earnest Webb, PC Past Accepting new patients
More Abundant Living Institute, P.C. Clinical PastSince Oct 1, 2009 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425

12140B Regency Pkwy
Huntley, IL 60142
Phone (847) 961-7500

405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599

3450 Oakton St
Ste 300
Skokie, IL 60076

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": "1288396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288396800000",
    "number": "1407156904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 GLASGOW LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141904",
            "telephone_number": "815-459-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 GLASGOW LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141904",
            "telephone_number": "815-459-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "KRISTIN",
        "middle_name": "ELISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-30",
        "last_updated": "2010-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.