Individual provider Active NPI

Katharine Caddell, MA, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1407260797
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014684 Issued in IL
Practice address
4006 N Milwaukee Ave Ste 208
Chicago, IL 60641-1977
Phone
(847) 894-2972
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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 149.014684 IL Primary

Addresses

Primary practice location

4006 N Milwaukee Ave Ste 208
Chicago, IL 60641-1977

Mailing address

4524 W Hutchinson St
Chicago, IL 60641-1946
Phone (847) 894-2972

Other practice location 1

1448 N Milwaukee Ave # 205
Chicago, IL 60622-9225
Phone (312) 476-9064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
149.014684ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katharine Caddell LLC Clinical CurrentSince Apr 19, 2020 Accepting new patients
Willis Counseling and Consulting Past Accepting new patients

Locations

4006 N Milwaukee Ave
Ste 208
Chicago, IL 60641
Phone (847) 894-2972

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1407260797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 W HUTCHINSON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411946",
            "telephone_number": "847-894-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 N MILWAUKEE AVE STE 208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411977",
            "telephone_number": "847-894-2972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1448 N Milwaukee Ave # 205",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606229225",
            "country_code": "US",
            "telephone_number": "312-476-9064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CADDELL",
        "first_name": "KATHARINE",
        "credential": "MA, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.