Individual provider Active NPI

Kathleen Maher, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1730833104
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011266 Issued in IL
Practice address
50 E Washington St Ste 301
Chicago, IL 60602-2142
Phone
(312) 252-9500
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149011266 IL Primary

Addresses

Primary practice location

50 E Washington St Ste 301
Chicago, IL 60602-2142

Mailing address

6564 N Tahoma Ave
Chicago, IL 60646-2825
Phone (773) 612-5368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240614000626 IL Practitioner - Clinical Social Worker 2466995840 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6143 N Forest Glen Ave
Chicago, IL 60646-5015
Phone (773) 612-5368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149011266ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St James Cathedral Counseling Center Clinical CurrentSince Feb 6, 2022 Accepting new patients

Locations

50 E Washington St
Ste 301
Chicago, IL 60602
Phone (312) 252-9500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1730833104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6564 N TAHOMA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606462825",
            "telephone_number": "773-612-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E WASHINGTON ST STE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022142",
            "telephone_number": "312-252-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.