Active NPI
Kristin K Tyminski, LCSW
- Clinical Social Worker
- Joliet, IL
National Provider Identifier
1497827067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3033 W Jefferson St
215
Joliet, IL 60435-5261 - Phone
- (815) 773-0772
- Fax
- (815) 773-0771
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | Primary |
Addresses
Primary practice location
3033 W Jefferson St
215
Joliet, IL 60435-5261
Mailing address
3033 W Jefferson St
215
Joliet, IL 60435-5261
Phone (815) 773-0772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3033 W Jefferson St
Suite 107
Joliet, IL 60435-5298
Phone (815) 773-0772
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Center for Mental Health Inc | Clinical | Current | Accepting new patients |
Locations
3033 W Jefferson St
Ste 107
Joliet, IL 60435
Phone (815) 773-0772
3033 W Jefferson St
Ste 215
Joliet, IL 60435
Phone (815) 773-0772
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497827067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 W JEFFERSON ST",
"address_2": "215",
"city": "JOLIET",
"state": "IL",
"postal_code": "604355261",
"telephone_number": "815-773-0772",
"fax_number": "815-773-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 W JEFFERSON ST",
"address_2": "215",
"city": "JOLIET",
"state": "IL",
"postal_code": "604355261",
"telephone_number": "815-773-0772",
"fax_number": "815-773-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYMINSKI",
"first_name": "KRISTIN",
"middle_name": "K",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.