Kelly Therese Kraus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.021264 Issued in IL

Practice address

275 W Dundee Rd
Buffalo Grove, IL 60089-3704

Phone

(847) 777-8995

Fax

(847) 947-2890

NPI assigned

Oct 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kelly Therese O'Donnell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1659681393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 S WINSTON DR",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600745740",
            "telephone_number": "847-373-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W DUNDEE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893704",
            "telephone_number": "847-777-8995",
            "fax_number": "847-947-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "KELLY",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.012703",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "O'DONNELL",
            "middle_name": "THERESE",
            "prefix": "MS.",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adam Koss
• Traci Kostak-Jacobson, L.AC.
• Lisa Kovtun, APN
• Keith Michael Kozeny, M.D.
• Zhana V Krasyuk, DMD
• Ranjani Krishnakumar, PT
• Patti E Krivo, LCSW
• Charles N. Krueger, D.C.
• Michelle Helen Krupa, PSYD
• Leon Frank Kubicki Jr., O.D.

• Clinical Social Worker in Buffalo Grove, IL
• Providers in Buffalo Grove, 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 Jul 2, 2019; 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.