Individual provider Active NPI

Kathryn Ann Gudonis, LCSW

  • Clinical Social Worker
  • Barrington, IL
National Provider Identifier
1558675322
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.012895 Issued in IL
Practice address
1531 S Grove Ave
Unit 204
Barrington, IL 60010-5251
Phone
(847) 381-2700
Fax
(847) 387-3120
NPI assigned
Aug 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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 149.012895 IL Primary

Addresses

Primary practice location

1531 S Grove Ave
Unit 204
Barrington, IL 60010-5251

Mailing address

1531 S Grove Ave
Unit 204
Barrington, IL 60010-5251
Phone (847) 381-2700

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.012895ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1558675322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 S GROVE AVE",
            "address_2": "UNIT 204",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105251",
            "telephone_number": "847-381-2700",
            "fax_number": "847-387-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 S GROVE AVE",
            "address_2": "UNIT 204",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105251",
            "telephone_number": "847-381-2700",
            "fax_number": "847-387-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDONIS",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.