Active NPI
Michael L Klestinski & Associates, P.C.
- Social Worker
- Libertyville, IL
National Provider Identifier
1477638948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- MICHAEL L KLESTINSKI & ASSOCIATES, P.C.
- Practice address
- 1117 S Milwaukee Ave
Forum Square Building B Suite 2
Libertyville, IL 60048-3798 - Phone
- (847) 367-6900
- Fax
- (847) 816-6447
- NPI assigned
- Oct 25, 2006
- Last updated
- Sep 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael L Klestinski, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (847) 367-6900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
1117 S Milwaukee Ave
Forum Square Building B Suite 2
Libertyville, IL 60048-3798
Mailing address
1117 S Milwaukee Ave
Forum Square Building B Suite 2
Libertyville, IL 60048-3798
Phone (847) 367-6900
National Provider Directory
National Provider DirectoryLocations
68 Ambrogio Dr
Ste 101
Gurnee, IL 60031
Phone (847) 662-5588
1117 S Milwaukee Ave
Ste B2
Libertyville, IL 60048
Phone (847) 204-6998
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Social Worker
- Libertyville, IL
- NPI 1366557225
-
- Clinical Social Worker
- Woodstock, IL
- NPI 1538273883
-
- Clinical Social Worker
- Libertyville, IL
- NPI 1205940905
-
- Clinical Social Worker
- Antioch, IL
- NPI 1508919812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443052800000",
"number": "1477638948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 S MILWAUKEE AVE",
"address_2": "FORUM SQUARE BUILDING B SUITE 2",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600483798",
"telephone_number": "847-367-6900",
"fax_number": "847-816-6447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 S MILWAUKEE AVE",
"address_2": "FORUM SQUARE BUILDING B SUITE 2",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600483798",
"telephone_number": "847-367-6900",
"fax_number": "847-816-6447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL L KLESTINSKI & ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2015-09-24",
"status": "A",
"authorized_official_last_name": "KLESTINSKI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "847-367-6900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.