Individual provider Active NPI

Kara Lynn Thompson-Miller, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1417522772
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149024380 Issued in IL
Practice address
300 W Adams St Ste 514
Chicago, IL 60606-5108
Phone
(312) 578-9990
Fax
(312) 275-7663
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.103663 IL
Clinical Social Worker 1041C0700X 149024380 IL Primary

Addresses

Primary practice location

300 W Adams St Ste 514
Chicago, IL 60606-5108

Mailing address

661 W Lake St Ste 2S
Chicago, IL 60661-1034
Phone (312) 547-1071

Other practice location 1

661 W Lake St Ste 2S
Chicago, IL 60661-1034
Phone (312) 547-1071

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

State licenses

LicenseStateTypeSpecialty
150.103663ILMDSocial Worker
149024380ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sonder Therapy Group PLLC Clinical Current Accepting new patients

Locations

661 W Lake St
Ste 2S
Chicago, IL 60661
Phone (312) 775-2045

Organizations & group practices 1

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": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1417522772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 W LAKE ST STE 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611034",
            "telephone_number": "312-547-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ADAMS ST STE 514",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065108",
            "telephone_number": "312-578-9990",
            "fax_number": "312-275-7663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "661 W Lake St Ste 2S",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606611034",
            "country_code": "US",
            "telephone_number": "312-547-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON-MILLER",
        "first_name": "KARA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.103663",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149024380",
            "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 Jun 26, 2024; 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.