Individual provider Active NPI

Colleen Manuel Kempner, MSW, MA, LSW

  • Social Worker
  • Chicago, IL
National Provider Identifier
1629420112
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.015780 Issued in IL
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

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
150.015780ILMDSocial Worker
149.019124ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Art of Being PLLC Clinical CurrentSince Dec 10, 2023 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.

Verify at the official NPI Registry.