Krista Woods, M.S.W, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-013839 Issued in IL

Practice address

900 Ridge Rd
Suite 1SW
Homewood, IL 60430-1933

Phone

(708) 794-6511

Fax

(708) 249-0022

NPI assigned

Nov 13, 2007

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)

Enrolled

State licenses

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1730369208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RIDGE RD",
            "address_2": "SUITE 1SW",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301933",
            "telephone_number": "708-794-6511",
            "fax_number": "708-249-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RIDGE RD",
            "address_2": "SUITE 1SW",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301933",
            "telephone_number": "708-794-6511",
            "fax_number": "708-249-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KRISTA",
        "name_prefix": "Ms.",
        "credential": "M.S.W, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-013839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lonn Wolf, PH.D.
• Duane Eugene Wolff, D.D.S.
• Womens Healthcare Associates of Il, SC
• Dorian S Woods, M.D.
• Kenitra Woods
• Linda J. Wright, PSY.D.
• Susan Yacobellis
• Wiley Yao
• Shoshanah Baht Yehudah, LCPC
• Yundee Yngson, PT

• Clinical Social Worker in Homewood, IL
• Providers in Homewood, 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 Mar 22, 2016; 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.