Alyssa Arnol Kaufman, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.015446 Issued in IL

Practice address

1536 Hackberry Rd
Deerfield, IL 60015-3960

Phone

(847) 624-1515

NPI assigned

Sep 8, 2014

Sex

Female

Sole proprietor

Yes

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.

• Alyssa Arnol LCSW PLLC

  • Clinical Social Worker
  • Deerfield, IL
  • NPI 1871170209
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2023.

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1740681972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 HACKBERRY RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153960",
            "telephone_number": "847-624-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 HACKBERRY RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153960",
            "telephone_number": "847-624-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 N Arlington Heights Rd",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600898213",
            "country_code": "US",
            "telephone_number": "224-625-2704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOL KAUFMAN",
        "first_name": "ALYSSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.015446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Deerfield, IL
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.