Katherine Sheppard Carrane – Clinical Social Worker

Key facts

NPI: 1487878732
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
Practice address: 310 Happ Rd
205
Northfield, IL 60093-3455
Phone: (847) 446-0800
NPI assigned: Apr 11, 2007
Sex: Female
Sole proprietor: Yes

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.

Susan L Melsky LCSW PC Adult Mental Health Clinic/Center · Chicago, IL · NPI 1154893816

NPD (past)

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 1987
Medicare assignment: May accept Medicare assignment

Practice addresses (Care Compare)

25 E Washington St
Suite 1608
Chicago, IL 60602-1882
Phone (847) 420-3936

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20130302000011	IL	Practitioner - Clinical Social Worker	4789839465	Practice locations: Chicago, IL

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
149004594	IL	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Susan L Melsky LCSW PC		Past since Dec 11, 2018	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X		IL	Yes

Addresses

Primary practice location

310 Happ Rd
205
Northfield, IL 60093-3455

Mailing address

310 Happ Rd
205
Northfield, IL 60093-3455
Phone (847) 446-0800

Other identifiers

Identifier	Type	State	Issuer
01633649	Other	IL	BCBS PROVIDER NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487878732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HAPP RD",
            "address_2": "205",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933455",
            "telephone_number": "847-446-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HAPP RD",
            "address_2": "205",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933455",
            "telephone_number": "847-446-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRANE",
        "first_name": "KATHERINE",
        "middle_name": "SHEPPARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "01633649",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

All providers in Northfield, IL · Clinical Social Worker in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.