Individual provider Active NPI

Shoshana Kahn, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1679581797
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-001820 Issued in IL
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

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 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

IdentifierTypeStateIssuer
0007147207OtherILAETNA PROVIDER #
1632407OtherILBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
149-001820ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Asbury Pavilion Nursing & Rehabilitation Center, LLC PastSince Jul 29, 2013 Accepting new patients
Best Care Home Health, Inc. PastSince Nov 2, 2011 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.

FacilityTypeRoleSince
Asbury Gardens Nursing and RehabilitationNorth Aurora, IL, CCN 146170 Skilled nursing facility 5% Or Greater Direct Ownership Interest (16.67%)
Adp of the SNF
Jul 29, 2013
Jan 6, 2025
Asbury Court Nursing & RehabilitationDes Plaines, IL, CCN 146187 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.Lincolnwood, IL, CCN 147623 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.

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.

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

Verify at the official NPI Registry.