Organization Active NPI

KLR Family Services LLC

  • Clinical Social Worker
  • Glenview, IL
National Provider Identifier
1679960207
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016208 Issued in IL
Legal business name
KLR FAMILY SERVICES LLC
Practice address
2401 Ravine Way
Suite 101
Glenview, IL 60025-7645
Phone
(847) 894-4802
NPI assigned
Apr 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathy Louise Rake, LCSW
Title
Principal
Phone
(847) 894-4802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.016208 IL Primary

Addresses

Primary practice location

2401 Ravine Way
Suite 101
Glenview, IL 60025-7645

Mailing address

1380 Crest Rd
Libertyville, IL 60048-1515
Phone (847) 894-4802

National Provider Directory

National Provider Directory

Locations

155 Revere Dr
Ste 8
Northbrook, IL 60062
Phone (224) 306-9831

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1679960207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 CREST RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481515",
            "telephone_number": "847-894-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RAVINE WAY",
            "address_2": "SUITE 101",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257645",
            "telephone_number": "847-894-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLR FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "RAKE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "847-894-4802",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.