Active NPI
Karen Tennyson
- Social Worker
- Buffalo Grove, IL
National Provider Identifier
1669952214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 149.018696
- Practice address
- 150 Weiland Rd
Buffalo Grove, IL 60089-7047 - Phone
- (847) 465-0200
- Fax
- (847) 556-1278
- NPI assigned
- Aug 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 149.018696 | IL | Primary |
Addresses
Primary practice location
150 Weiland Rd
Buffalo Grove, IL 60089-7047
Mailing address
332 S Michigan Ave Ste 1100
Chicago, IL 60604-4416
Phone (888) 660-4425
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.018696 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1669952214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 S MICHIGAN AVE STE 1100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606044416",
"telephone_number": "888-660-4425",
"fax_number": "708-843-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 WEILAND RD",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600897047",
"telephone_number": "847-465-0200",
"fax_number": "847-556-1278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNYSON",
"first_name": "KAREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-14",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "149.018696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.