Individual provider Active NPI

Kirstin Montsma

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1770454084
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150.117768 Issued in IL
Practice address
3921 N Lincoln Ave
Chicago, IL 60613-2417
Phone
(312) 380-5344
NPI assigned
Sep 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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 150.117768 IL Primary

Addresses

Primary practice location

3921 N Lincoln Ave
Chicago, IL 60613-2417

Mailing address

549 W Aldine Ave Apt 306
Chicago, IL 60657-3715

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150.117768ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nourishment Works PC CurrentSince Sep 21, 2025 Accepting new patients

Locations

3921 N Lincoln Ave
Chicago, IL 60613
Phone (312) 380-5344

3921 N Lincoln Ave
#1
Chicago, IL 60613

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": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1770454084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 W ALDINE AVE APT 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132417",
            "telephone_number": "312-380-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTSMA",
        "first_name": "KIRSTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150.117768",
            "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 Sep 17, 2025; 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.