Active NPI
Kaleigh Berry
- Clinical Social Worker
- Pontiac, IL
National Provider Identifier
1730528282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.01949
- Practice address
- 310 E Torrance Ave
Pontiac, IL 61764-2748 - Phone
- (815) 844-6109
- NPI assigned
- Jun 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.01949 | IL | Primary |
Addresses
Primary practice location
310 E Torrance Ave
Pontiac, IL 61764-2748
Mailing address
35372 E 1000 North Rd
Chatsworth, IL 60921-8144
Phone (815) 383-8868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.01949 | IL | MD | Clinical Social Worker |
Interoperability endpoints
- kaleigh.berry.1@30520.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1730528282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35372 E 1000 NORTH RD",
"city": "CHATSWORTH",
"state": "IL",
"postal_code": "609218144",
"telephone_number": "815-383-8868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E TORRANCE AVE",
"city": "PONTIAC",
"state": "IL",
"postal_code": "617642748",
"telephone_number": "815-844-6109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "KALEIGH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-18",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.01949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.