Individual provider Active NPI

Kayla Lynn Button, MSW

  • Clinical Social Worker
  • Kankakee, IL
National Provider Identifier
1578977286
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149018996 Issued in IL
Practice address
213 E Court St Ste 211
Kankakee, IL 60901-3824
Phone
(815) 246-2473
NPI assigned
Jun 20, 2014
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 149018996 IL Primary

Addresses

Primary practice location

213 E Court St Ste 211
Kankakee, IL 60901-3824

Mailing address

4929 W Doris Dr
Kankakee, IL 60901-6132
Phone (815) 954-8110

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
I20161212000777 IL Practitioner - Clinical Social Worker 0648550525 Practice locations: Kankakee, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

213 E Court St
Suite 211
Kankakee, IL 60901-3824
Phone (815) 954-8110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149018996ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1578977286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 W DORIS DR",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609016132",
            "telephone_number": "815-954-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E COURT ST STE 211",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013824",
            "telephone_number": "815-246-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTON",
        "first_name": "KAYLA",
        "middle_name": "LYNN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

Verify at the official NPI Registry.