Kaamilya Sabreen Wedwick, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

75 Executive Dr
Aurora, IL 60504-8137

Phone

(847) 757-2577

NPI assigned

Jun 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1700402104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3089 GRANDE TRAIL",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605605841",
            "telephone_number": "847-757-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 EXECUTIVE DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048137",
            "telephone_number": "847-757-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDWICK",
        "first_name": "KAAMILYA",
        "middle_name": "SABREEN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://thriveworks.com/aurora-therapy/",
            "affiliation": "N",
            "address_1": "75 Executive Dr",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605048137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn Weber, APRN
• Katrina Weber, BSW MHP
• Regina Emily Weber, LCPC
• Tamara Javon Weddington, MD
• Kelly Lynn Wedic
• Alyssa Weems
• Weglarz & Parkhurst, DDS, PC
• Linda M Weglarz, DDS
• Keith E Weiler, MD
• Jennifer Ann Weinberg, M.D.

• Clinical Social Worker in Aurora, IL
• Providers in Aurora, 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 Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.