Kristina E Polley, LCSW,RN

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.006205 Issued in IL

Practice address

13423 Dearborn TRL
Huntley, IL 60142-7816

Phone

(847) 710-1800

Fax

(847) 659-9661

NPI assigned

Apr 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kristina P Sloniger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1639494610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13423 DEARBORN TRL",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427816",
            "telephone_number": "847-710-1800",
            "fax_number": "847-659-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13423 DEARBORN TRL",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427816",
            "telephone_number": "847-710-1800",
            "fax_number": "847-659-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLEY",
        "first_name": "KRISTINA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW,RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.006205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "SLONIGER",
            "middle_name": "P",
            "prefix": "MRS.",
            "credential": "LCSW,RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Richard Pflanz, RPH
• Mimi Doan Pham, PHARMD
• Phoenix Bilingual Services PLLC
• Grant Anderson Pizzo, DMD
• Jeffrey A Planchard, M.D.
• Deborah Powless, LMT
• Cassidy Phuong Hong Prenta, RN
• Jamie C Price, PA-C
• Nicole D. Pump, DPT
• Questcare Obstetrics of Illinois, LLC

• Clinical Social Worker in Huntley, IL
• Providers in Huntley, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.