Individual provider Active NPI

Kandace Kay Golas, MSW, LCSW

  • Clinical Social Worker
  • Lombard, IL
National Provider Identifier
1639105950
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
55 W 22ND St
Suite #330
Lombard, IL 60148-4854
Phone
(630) 678-9092
Fax
(630) 678-9093
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

55 W 22ND St
Suite #330
Lombard, IL 60148-4854

Mailing address

55 W 22ND St
Suite #330
Lombard, IL 60148-4854
Phone (630) 678-9092

Other names 1

  • Ms. Kandace Kay Klapka Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061211000344 IL Practitioner - Clinical Social Worker 2961401443 Practice locations: Lombard, IL; Park Ridge, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1920 S Highland Ave
Lombard, IL 60148-6149
Phone (630) 678-9092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639105950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W 22ND ST",
            "address_2": "SUITE #330",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484854",
            "telephone_number": "630-678-9092",
            "fax_number": "630-678-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W 22ND ST",
            "address_2": "SUITE #330",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484854",
            "telephone_number": "630-678-9092",
            "fax_number": "630-678-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLAS",
        "first_name": "KANDACE",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANDACE",
            "last_name": "KLAPKA",
            "middle_name": "KAY",
            "prefix": "MS.",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.