Debra B Kaufman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149003903 Issued in IL

Practice address

3 W Hawthorn Pkwy Ste 370
Vernon Hills, IL 60061-1449

Phone

(847) 932-0810

Fax

(847) 918-8215

NPI assigned

Dec 21, 2022

Last updated

Dec 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Debra Lynn Brill Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lucentia Wellness, PLLC

  • Psychiatry Physician
  • Vernon Hills, IL
  • NPI 1841160348
  NPD
• Pra Behavioral LLC

  • Mental Health Counselor
  • Schaumburg, IL
  • NPI 1679546873

  Clinical

  NPD (past)

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671840000000",
    "number": "1568174431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E WOODFIELD RD STE 1000",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735113",
            "telephone_number": "847-240-2211",
            "fax_number": "847-240-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W HAWTHORN PKWY STE 370",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611449",
            "telephone_number": "847-932-0810",
            "fax_number": "847-918-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "DEBRA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-24",
        "certification_date": "2022-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.PRAPSYCH.COM",
            "affiliation": "N",
            "endpointDescription": "WEBSITE CONTACT US",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "WEBSITE CONTACT US",
            "address_1": "1701 E Woodfield Rd",
            "address_2": "Suite 1000",
            "city": "Schaumburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "BRILL",
            "middle_name": "LYNN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Louis Scott Kanter, MD
• Michelle Hanna Kantor
• Jeremy S. Kaplan, M.D.
• Maria Karalis, RDN, LDN
• Olga Kats
• Kathleen Kelly
• Margaret Kelly, RN
• Caitlin Ashley Kendler
• Kenneth a Holz DDS PC
• Ashley Heathere Kenniebrew, MSW

• Clinical Social Worker in Vernon Hills, IL
• Providers in Vernon Hills, 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 Dec 24, 2022; 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.