Individual provider Active NPI

Karen Chandler, LCSW

  • Clinical Social Worker
  • Skokie, IL
National Provider Identifier
1497362206
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149006477 Issued in IL
Practice address
3424 Oakton St
Skokie, IL 60076-2979
Phone
(847) 877-0404
NPI assigned
Sep 25, 2020
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149006477 IL Primary

Addresses

Primary practice location

3424 Oakton St
Skokie, IL 60076-2979

Mailing address

8837 242ND Ave
Salem, WI 53168-9090
Phone (847) 877-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201130000650 IL Practitioner - Clinical Social Worker 9335550177 Reassigns benefits to 1 organization
I20240730001724 WI Practitioner - Clinical Social Worker 9335550177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Wisconsin LLCGroup PAC ID 6901224773, 7 clinicians

Practice addresses (Care Compare)

8633 32ND Ave
Kenosha, WI 53142-5187
Phone (262) 694-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149006477ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Sep 1, 2020 Accepting new patients
Vitae Health Medical Wisconsin LLC CurrentSince Jun 19, 2024 Accepting new patients

Locations

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

3450 Oakton St
Skokie, IL 60076

9000 Lavergne Ave
Skokie, IL 60077
Phone (847) 679-2322

3100 Washington Rd
Kenosha, WI 53144
Phone (262) 658-4039

8633 32nd Ave
Kenosha, WI 53142
Phone (262) 694-8300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1497362206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8837 242ND AVE",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531689090",
            "telephone_number": "847-877-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762979",
            "telephone_number": "847-877-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "KAREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.