Active NPI
Karen J. Eklind, L.C.S.W.
- Clinical Social Worker
- Park Ridge, IL
National Provider Identifier
1679604284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-002026
- Practice address
- 1580 N Northwest Hwy
Suite 125-C
Park Ridge, IL 60068-1444 - Phone
- (224) 223-4241
- NPI assigned
- Mar 7, 2007
- 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 | 149-002026 | IL | Primary |
Addresses
Primary practice location
1580 N Northwest Hwy
Suite 125-C
Park Ridge, IL 60068-1444
Mailing address
1727 Park Ridge PT
Park Ridge, IL 60068-1313
Phone (224) 223-4241
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27-2470394 | Other | FEDERAL TAX ID # | |
| 149-002026 | Other | IL | L.C.S.W. |
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 |
|---|---|---|---|
| 149-002026 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1679604284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1727 PARK RIDGE PT",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681313",
"telephone_number": "224-223-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 N NORTHWEST HWY",
"address_2": "SUITE 125-C",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681444",
"telephone_number": "224-223-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKLIND",
"first_name": "KAREN",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-002026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID #",
"identifier": "27-2470394",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L.C.S.W.",
"identifier": "149-002026",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.