NPIMap

Organization Active NPI

Kannan Vinaitheerthan, Inc.

  • Clinical Social Worker
  • Lincolnwood, IL
National Provider Identifier
1578210571
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KANNAN VINAITHEERTHAN, INC.
Practice address
6421 N Trumbull Ave
Lincolnwood, IL 60712-3820
Phone
(630) 615-1670
NPI assigned
Mar 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Kannan Vinaitheerthan, LCSWNPI 1790175768
Title
Therapist/ Practice Owner
Phone
(630) 615-1670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6421 N Trumbull Ave
Lincolnwood, IL 60712-3820

Mailing address

6421 N Trumbull Ave
Lincolnwood, IL 60712-3820
Phone (630) 615-1670

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1578210571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 N TRUMBULL AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123820",
            "telephone_number": "630-615-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 N TRUMBULL AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123820",
            "telephone_number": "630-615-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANNAN VINAITHEERTHAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "VINAITHEERTHAN",
        "authorized_official_first_name": "KANNAN",
        "authorized_official_title_or_position": "THERAPIST/ PRACTICE OWNER",
        "authorized_official_telephone_number": "630-615-1670",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.