Individual provider Active NPI

Kathleen Kronn, LCSW

  • Clinical Social Worker
  • Elgin, IL
National Provider Identifier
1689922502
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016112 Issued in IL
Practice address
2130 Point Blvd Ste 200
Elgin, IL 60123-9208
Phone
(847) 783-0307
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-19019 AZ
Clinical Social Worker 1041C0700X 149.016112 IL Primary

Addresses

Primary practice location

2130 Point Blvd Ste 200
Elgin, IL 60123-9208

Mailing address

2130 Point Blvd Ste 200
Elgin, IL 60123-9208
Phone (847) 783-0307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240126000763 AZ Practitioner - Clinical Social Worker 3779809660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17431 W 71St Dr
Suite 101
Glendale, AZ 85308-8598
Phone (623) 680-3469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.016112ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Enhance Counseling & Wellness LLC CurrentSince Nov 15, 2023 Accepting new patients
Advanced Psychiatry of Elgin Clinical PastSince Sep 1, 2014 Accepting new patients
Enhance the Community, Inc. PastSince Jun 18, 2023 Accepting new patients

Locations

6635 W Happy Valley Rd
Ste A104148
Glendale, AZ 85310
Phone (623) 680-3469

17431 N 71st Dr
Ste 101
Glendale, AZ 85308
Phone (623) 680-3469

Organizations & group practices 3

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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1689922502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 POINT BLVD STE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239208",
            "telephone_number": "847-783-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 POINT BLVD STE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239208",
            "telephone_number": "847-783-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONN",
        "first_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-19019",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.