Organization Active NPI

Tairi Kearns LCSW

  • Clinical Social Worker
  • Yorkville, IL
National Provider Identifier
1760766653
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149013396 Issued in IL
Legal business name
TAIRI KEARNS LCSW
Practice address
102 E Schoolhouse Rd
Suite 1
Yorkville, IL 60560-1742
Phone
(630) 881-1095
Fax
(630) 553-5533
NPI assigned
Oct 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Tairi Kearns
Title
Owner/Therapist
Phone
(630) 881-1095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149013396 IL Primary

Addresses

Primary practice location

102 E Schoolhouse Rd
Suite 1
Yorkville, IL 60560-1742

Mailing address

102 E Schoolhouse Rd
Suite 1
Yorkville, IL 60560-1742

National Provider Directory

National Provider Directory

Locations

102 E Schoolhouse Rd
Ste 1
Yorkville, IL 60560
Phone (630) 881-1095

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1760766653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E SCHOOLHOUSE RD",
            "address_2": "SUITE 1",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E SCHOOLHOUSE RD",
            "address_2": "SUITE 1",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601742",
            "telephone_number": "630-881-1095",
            "fax_number": "630-553-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAIRI KEARNS LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "KEARNS",
        "authorized_official_first_name": "TAIRI",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "630-881-1095"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.