Individual provider Active NPI

Katherine Rack, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1477160299
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.027301 Issued in IL
Practice address
5030 N Winthrop Ave Apt 3E
Chicago, IL 60640-6436
Phone
(312) 426-8731
NPI assigned
Sep 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.027301 IL Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

5030 N Winthrop Ave Apt 3E
Chicago, IL 60640-6436

Mailing address

2501 Chatham Rd Ste 6508
Springfield, IL 62704-4188
Phone (312) 426-8731

Other practice location 1

6417 W Irving Park Rd
Chicago, IL 60634-2437
Phone (773) 706-0428

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
149.027301ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine Rack Wellness PLLC Clinical CurrentSince Sep 27, 2020 Accepting new patients
Youth Outreach Services PastSince Sep 27, 2020 Accepting new patients
Youth Outreach Services PastSince Sep 27, 2020 Accepting new patients

Locations

2501 Chatham Rd
Springfield, IL 62704
Phone (312) 625-0078

Organizations & group practices 3

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": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1477160299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CHATHAM RD STE 6508",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044188",
            "telephone_number": "312-426-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 N WINTHROP AVE APT 3E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406436",
            "telephone_number": "312-426-8731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6417 W Irving Park Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606342437",
            "country_code": "US",
            "telephone_number": "773-706-0428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACK",
        "first_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.027301",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 19, 2026; 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.