Active NPI
Tracey Lipsig Kite, LCSW
- Clinical Social Worker
- Northbrook, IL
National Provider Identifier
1629029624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149007083
- Practice address
- 3000 Dundee Rd
Northbrook, IL 60062-2422 - Phone
- (847) 901-3488
- Fax
- (847) 901-3889
- NPI assigned
- May 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 149.007083 | IL | |
| Clinical Social Worker | 1041C0700X | 149007083 | IL | Primary |
Addresses
Primary practice location
3000 Dundee Rd
Northbrook, IL 60062-2422
Mailing address
1516 Sequoia TRL
Glenview, IL 60025-2019
Phone (847) 901-3488
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050614001149 | IL | Practitioner - Clinical Social Worker | 3678517232 | Practice locations: Northbrook, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1516 Sequoia TRL
Glenview, IL 60025-2019
3000 Dundee Rd
Suite 111
Northbrook, IL 60062-2424
Phone (847) 901-3488
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.007083 | IL | MD | Social Worker |
| 149007083 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLKG PLLC | Clinical | Current | Accepting new patients |
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.
-
- Clinical Social Worker
- Glenview, IL
- NPI 1043067275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1629029624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 SEQUOIA TRL",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600252019",
"telephone_number": "847-901-3488",
"fax_number": "847-901-3889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 DUNDEE RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622422",
"telephone_number": "847-901-3488",
"fax_number": "847-901-3889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITE",
"first_name": "TRACEY",
"middle_name": "LIPSIG",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149.007083",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149007083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.