Karen Southwick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-012686 Issued in IL

Practice address

640 N River Rd Ste 108
Naperville, IL 60563-8947

Phone

(630) 718-0717

Fax

(630) 718-0747

NPI assigned

Jan 29, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Achieve Wellness Counseling

  • Community/Behavioral Health Agency
  • Lisle, IL
  • NPI 1598339301
  NPD Authorized official
• Revelations RX PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Naperville, IL
  • NPI 1265124846
  NPD

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1578740734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 W SHURE DR STE 180",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047803",
            "telephone_number": "847-392-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N RIVER RD STE 108",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638947",
            "telephone_number": "630-718-0717",
            "fax_number": "630-718-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWICK",
        "first_name": "KAREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-012686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Soto-Santiago
• Brooke Samantha Soukup, APN-CNP
• South Chicago Oncology Associates LLC
• South Tent Inc
• Southwest Respiratory Consultants SC
• Sovereign Rehab
• Sovereign Rehabilitation of Il, LLC
• Sovereign Rehabilitation of Illinois
• Lauren Soyk
• Soyoung Suh PHD Counseling

• Clinical Social Worker in Naperville, IL
• Providers in Naperville, 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 May 9, 2018; 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.