Individual provider Active NPI

Kari L Sandy, LCSW

  • Clinical Social Worker
  • Roselle, IL
National Provider Identifier
1689831430
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.013042 Issued in IL
Practice address
975 E Nerge Rd
Roselle, IL 60172-4804
Phone
(773) 263-7796
NPI assigned
May 20, 2008
Last updated
Apr 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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 149.013042 IL Primary

Addresses

Primary practice location

975 E Nerge Rd
Roselle, IL 60172-4804

Mailing address

975 E Nerge Rd
Ste W100-E
Roselle, IL 60172-4804
Phone (773) 263-7796

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
I20081112000368 IL Practitioner - Clinical Social Worker 4486713997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

975 E Nerge Rd
Roselle, IL 60172-4804
Phone (773) 263-7796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.013042ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kari Sandy Counseling Corporation Clinical CurrentSince Nov 17, 2016 Accepting new patients
Presence Behavioral Health Past Accepting new patients

Locations

975 E Nerge Rd
Roselle, IL 60172
Phone (224) 520-8562

975 E Nerge Rd
Ste W100E
Roselle, IL 60172
Phone (773) 263-7796

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1689831430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E NERGE RD",
            "address_2": "STE W100-E",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601724804",
            "telephone_number": "773-263-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E NERGE RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601724804",
            "telephone_number": "773-263-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDY",
        "first_name": "KARI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, IL

Sources for this page

Verify at the official NPI Registry.