Individual provider Active NPI

Ke'Ana A Lampkins, MSW, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1689387730
Registry record updated Sep 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150.105985 Issued in IL
Practice address
1300 W Belmont Ave Ste 514
Chicago, IL 60657-3200
Phone
(708) 628-7579
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2024

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 150.105985 IL Primary

Addresses

Primary practice location

1300 W Belmont Ave Ste 514
Chicago, IL 60657-3200

Mailing address

927 Hamlin Ave
Flossmoor, IL 60422-1040
Phone (773) 403-0234

Other names 1

  • Ke'Ana A Troutman Other name

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
150.105985ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Well of Life Counseling LLC CurrentSince Oct 6, 2024 Accepting new patients

Locations

19630 Governors Hwy
Ste 5
Flossmoor, IL 60422
Phone (708) 481-4257

Organizations & group practices 1

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": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1689387730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 HAMLIN AVE",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221040",
            "telephone_number": "773-403-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE STE 514",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200",
            "telephone_number": "708-628-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPKINS",
        "first_name": "KE'ANA",
        "middle_name": "A",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.105985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KE'ANA",
            "last_name": "TROUTMAN",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 1, 2024; 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.