Individual provider Active NPI

Kerstin Blumhardt, MSW

  • Clinical Social Worker
  • Oak Brook, IL
National Provider Identifier
1679611503
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2907 Butterfield Rd
Suite 240
Oak Brook, IL 60523-1175
Phone
(630) 586-0900
Fax
(630) 586-9990
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
No

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 IL Primary

Addresses

Primary practice location

2907 Butterfield Rd
Suite 240
Oak Brook, IL 60523-1175

Mailing address

2907 Butterfield Rd
Suite 240
Oak Brook, IL 60523-1175
Phone (630) 586-0900

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149-008021ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kerstin Blumhardt, PLLC Clinical Current Accepting new patients
Perrotta and Kraus PHDS PC Past Accepting new patients

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679611503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 BUTTERFIELD RD",
            "address_2": "SUITE 240",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231175",
            "telephone_number": "630-586-0900",
            "fax_number": "630-586-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 BUTTERFIELD RD",
            "address_2": "SUITE 240",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231175",
            "telephone_number": "630-586-0900",
            "fax_number": "630-586-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMHARDT",
        "first_name": "KERSTIN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.