Active NPI
Kaitlin Marie Block, LSW
- Clinical Social Worker
- Lisle, IL
National Provider Identifier
1740994086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.025529
- Practice address
- 4300 Commerce CT Ste 220
Lisle, IL 60532-3698 - Phone
- (773) 739-0992
- NPI assigned
- Jan 11, 2023
- Last updated
- Apr 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 149.025529 | IL | Primary |
Addresses
Primary practice location
4300 Commerce CT Ste 220
Lisle, IL 60532-3698
Mailing address
4300 Commerce CT Ste 220
Lisle, IL 60532-3698
Phone (773) 739-0992
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.025529 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1740994086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 COMMERCE CT STE 220",
"city": "LISLE",
"state": "IL",
"postal_code": "605323698",
"telephone_number": "773-739-0992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 COMMERCE CT STE 220",
"city": "LISLE",
"state": "IL",
"postal_code": "605323698",
"telephone_number": "773-739-0992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "KAITLIN",
"middle_name": "MARIE",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-11",
"last_updated": "2023-04-24",
"certification_date": "2023-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.025529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
- BKD Personal Assistance Services LLC (Brookdale at Home Lisle)
- Leanna Blanchard, PT, DPT
- Loraine Blanco, DMD
- Kathleen E Blattner, SLP
- BLC-Devonshire of Lisle, LLC (Brookdale Lisle AL)
- Boehm Dental Care
- Shannon Bohnert, MA, CCC-SLP
- Katherine Borchardt, PSY.D.
- Boyce Chiropractic Lisle (Boyce Chiropractic)
- Jennifer Lauren Brammeier, D.D.S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.