Active NPI
Kathleen Maher, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1730833104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149011266
- Practice address
- 50 E Washington St Ste 301
Chicago, IL 60602-2142 - Phone
- (312) 252-9500
- NPI assigned
- Feb 4, 2022
- Last updated
- Feb 4, 2022
- 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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 149011266 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St James Cathedral Counseling Center | Clinical | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cathedral Counseling Center
- Clinical Social Worker
- Chicago, IL
- NPI 1720090780
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.