NPIMap

Organization Active NPI

Katherine M. Czyzewski

  • Clinical Social Worker
  • Naperville, IL
National Provider Identifier
1619126331
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.007964 Issued in IL
Legal business name
KATHERINE M. CZYZEWSKI
Practice address
1770 Park St Ste 109
Naperville, IL 60563-1244
Phone
(630) 853-3990
NPI assigned
Sep 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Katherine M. Czyzewski, MSWNPI 1376780791
Title
Licensed Clinical Social Worker
Phone
(630) 853-3990

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 149.007964 IL Primary

Addresses

Primary practice location

1770 Park St Ste 109
Naperville, IL 60563-1244

Mailing address

1770 Park St Ste 109
Naperville, IL 60563-1244
Phone (630) 853-3990

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": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1619126331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 PARK ST STE 109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631244",
            "telephone_number": "630-853-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 PARK ST STE 109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631244",
            "telephone_number": "630-853-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE M. CZYZEWSKI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "CZYZEWSKI",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "630-853-3990",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.007964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.