Individual provider Active NPI

Katrina Abreana Gainey

  • Social Worker
  • Chicago, IL
National Provider Identifier
1487493474
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.110105 Issued in IL
Practice address
1447 W Montrose Ave
Chicago, IL 60613-1348
Phone
(773) 944-0864
NPI assigned
May 21, 2024
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.110105 IL Primary

Addresses

Primary practice location

1447 W Montrose Ave
Chicago, IL 60613-1348

Mailing address

500 W Belmont Ave Apt 3a
Chicago, IL 60657-4638
Phone (803) 391-5739

Other practice location 1

542 S Dearborn St Ste 580
Chicago, IL 60605-1573
Phone (708) 942-1716

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
150.110105ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1487493474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W BELMONT AVE APT 3A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574638",
            "telephone_number": "803-391-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131348",
            "telephone_number": "773-944-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "542 S Dearborn St Ste 580",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606051573",
            "country_code": "US",
            "telephone_number": "708-942-1716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINEY",
        "first_name": "KATRINA",
        "middle_name": "ABREANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.110105",
            "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 May 21, 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.