Individual provider Active NPI

Kathleen Ann Monroe, LCSW, CADC

  • Clinical Social Worker
  • Wheeling, IL
National Provider Identifier
1558844597
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.020600 Issued in IL
Practice address
1315 Exeter CT
Wheeling, IL 60090-2219
Phone
(224) 803-0189
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 33510 IL
Clinical Social Worker 1041C0700X 149.020600 IL Primary

Addresses

Primary practice location

1315 Exeter CT
Wheeling, IL 60090-2219

Mailing address

3850 W 93Rd St
Evergreen Park, IL 60805-1819
Phone (224) 803-0189

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220826001641 IL Practitioner - Clinical Social Worker 2769866615 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33510ILMDAddiction (Substance Use Disorder) Counselor
149.020600ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
HGC Therapy LTD. CurrentSince Jul 24, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Dec 27, 2023 Accepting new patients

Locations

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558844597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 W 93RD ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051819",
            "telephone_number": "224-803-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 EXETER CT",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902219",
            "telephone_number": "224-803-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "33510",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

Verify at the official NPI Registry.