Individual provider Active NPI

Katherine Sikich

  • Clinical Social Worker
  • Park Ridge, IL
National Provider Identifier
1609149780
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016650 Issued in IL
Practice address
1580 N Northwest Hwy Ste 224
Park Ridge, IL 60068-1468
Phone
(847) 390-0247
NPI assigned
Feb 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

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 149.016650 IL Primary

Addresses

Primary practice location

1580 N Northwest Hwy Ste 224
Park Ridge, IL 60068-1468

Mailing address

1580 N Northwest Hwy Ste 224
Park Ridge, IL 60068-1468
Phone (630) 999-7382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 17, 2025 through Nov 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.016650ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine a. Sikich LCSW, PLLC Clinical Current Accepting new patients

Locations

1580 N Northwest Hwy
Ste 224
Park Ridge, IL 60068
Phone (630) 999-7382

Organizations & group practices 1

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": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1609149780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 224",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681468",
            "telephone_number": "630-999-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N NORTHWEST HWY STE 224",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681468",
            "telephone_number": "847-390-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKICH",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.