Kayleigh Ariel Eisenstein, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.023224 Issued in IL

Practice address

6321 N Avondale Ave Ste 204
Chicago, IL 60631-1961

Phone

(773) 774-4444

NPI assigned

Jan 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Urban Wellness, LTD.

  • Professional Counselor
  • Chicago, IL
  • NPI 1942565353

  Clinical

  NPD (past)

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1487305439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 N FREMONT ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135532",
            "telephone_number": "901-277-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 N AVONDALE AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311961",
            "telephone_number": "773-774-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENSTEIN",
        "first_name": "KAYLEIGH",
        "middle_name": "ARIEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.023224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuval Eisenberg, M.D.
• Laurie Jane Eisengart, M.D.
• Tory Anne Eisenlohr-Moul, PHD
• Kristin Eisenschmid
• Avraham Eisenstein, MD
• Talia Horwitz Eisenstein, MD
• Audra K Eisin-Banazek, L.C.P.C
• Pfeffer J Eisin, M.A.,L.C.P.C.
• Shanelle Binggeli Eiswirth, ACNP
• Melanie A Eitenmiller, MOT OTR/L

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.