Active NPI
Shoshana Kahn, LCSW
- Clinical Social Worker
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-001820
- Practice address
- 2656 W Montrose Ave
Chicago, IL 60618-1559 - Phone
- (773) 463-2880
- Fax
- (773) 508-5547
- NPI assigned
- Aug 4, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149-001820 | IL | Primary |
Addresses
Primary practice location
2656 W Montrose Ave
Chicago, IL 60618-1559
Mailing address
2656 W Montrose Ave
Chicago, IL 60618-1559
Phone (773) 463-2880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007147207 | Other | IL | AETNA PROVIDER # |
| 1632407 | Other | IL | BCBS PROVIDER # |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071204000529 | IL | Practitioner - Clinical Social Worker | 8921197567 | Practice locations: Chicago, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5214 N Western Ave
Chicago, IL 60625-2588
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-001820 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asbury Pavilion Nursing & Rehabilitation Center, LLC | Past | Accepting new patients | |
| Best Care Home Health, Inc. | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Asbury Gardens Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (16.67%) Adp of the SNF |
Jul 29, 2013 Jan 6, 2025 |
| Asbury Court Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (16.67%) Managing Control - Governing Body Adp of the SNF |
Jul 6, 2016 Jul 6, 2016 Jul 6, 2016 |
| Best Care Home Health, Inc. | Home health agency | 5% Or Greater Direct Ownership Interest (25%) Corporate Officer |
Nov 2, 2011 Nov 2, 2011 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Des Plaines, IL
- NPI 1194254722
5% Or Greater Direct Ownership Interest, Adp of the SNF, Managing Control - Governing Body
-
- Skilled Nursing Facility
- North Aurora, IL
- NPI 1235564204
5% Or Greater Direct Ownership Interest, Adp of the SNF
-
- Home Health Agency
- Lincolnwood, IL
- NPI 1588796692
5% Or Greater Direct Ownership Interest, Corporate Officer
Organizations & group practices 2
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.
-
- Skilled Nursing Facility
- North Aurora, IL
- NPI 1235564204
-
- Home Health Agency
- Lincolnwood, IL
- NPI 1588796692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679581797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2656 W MONTROSE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181559",
"telephone_number": "773-463-2880",
"fax_number": "773-508-5547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2656 W MONTROSE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181559",
"telephone_number": "773-463-2880",
"fax_number": "773-508-5547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "SHOSHANA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-001820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "0007147207",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "1632407",
"state": "IL"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.