Kathleen Louise Rake, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

150.012967 Issued in IL

Practice address

800 W Buena Ave
2ND Floor
Chicago, IL 60613-1612

Phone

(773) 665-8052

NPI assigned

Jun 16, 2011

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

Other names 1

• Kathleen Louise Pikel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• KLR Family Services LLC

  • Clinical Social Worker
  • Glenview, IL
  • NPI 1194112680
  NPD (past)

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1497040539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W BUENA AVE",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131612",
            "telephone_number": "773-665-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W BUENA AVE",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131612",
            "telephone_number": "773-665-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKE",
        "first_name": "KATHLEEN",
        "middle_name": "LOUISE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.012967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "PIKEL",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rajul Patel Westloop PC
• Rajul Patel Westloop PC
• Rajul Patel Westloop PC
• Daniel J Rak, D.D.S.
• Julie Rakay, LCSW
• Gregory Rakers
• Ellen Rakhman, FNP-BC
• Klavgia Rakhman, PHARM.D,CGP
• Rakhshanda M. Munir MD SC
• Andrea Alejandra Rako

• 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 Jun 16, 2011; 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.