Joanna Kegler

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149023105 Issued in IL

Practice address

708 Church St Ste 205
Evanston, IL 60201-3881

Phone

(773) 754-5960

NPI assigned

May 28, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Joanna Kegler LCSW PLLC

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1730825001
  NPD Authorized official

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

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1689934325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 SHERMAN AVE UNIT 1A",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012446",
            "telephone_number": "773-754-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 CHURCH ST STE 205",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013881",
            "telephone_number": "773-754-5960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Davis St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602014491",
            "country_code": "US",
            "telephone_number": "773-754-5960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEGLER",
        "first_name": "JOANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-28",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas C. Keeler, MD
• Susanne Phillips Keeley, SLP
• William Keeley, PT
• Melissa Keene, M.D.
• Tesfamariam Kefle, LCSW
• Oumar Keita
• Patricia Ann Kelleher, M.D.
• Chad Michael Keller, PA
• Jodi Keller, M.S., LPC, NCC
• Kenneth Martin Lester Kellner, MD

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.