Active NPI
Colleen Manuel Kempner, MSW, MA, LSW
- Social Worker
- Chicago, IL
National Provider Identifier
1629420112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.015780
- Practice address
- 2525 W Farragut Ave
2W
Chicago, IL 60625-2442 - Phone
- (952) 564-4304
- NPI assigned
- Jul 7, 2016
- 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 | 150.015780 | IL | Primary |
| Clinical Social Worker | 1041C0700X | 149.019124 | IL |
Addresses
Primary practice location
2525 W Farragut Ave
2W
Chicago, IL 60625-2442
Mailing address
2525 W Farragut Ave
2W
Chicago, IL 60625-2442
Phone (952) 564-4304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.015780 | IL | MD | Social Worker |
| 149.019124 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Art of Being PLLC | Clinical | Current | Accepting new patients |
Locations
4337 W Irving Park Rd
Chicago, IL 60641
Phone (713) 410-3776
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": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1629420112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 W FARRAGUT AVE",
"address_2": "2W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252442",
"telephone_number": "952-564-4304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 W FARRAGUT AVE",
"address_2": "2W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252442",
"telephone_number": "952-564-4304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMPNER",
"first_name": "COLLEEN",
"middle_name": "MANUEL",
"credential": "MSW, MA, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-07",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.015780",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.019124",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.