Mimi S Kravitz, MSW;LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149006381 Issued in IL

Practice address

464 Central Ave Ste 30
Northfield, IL 60093-3030

Phone

(847) 226-5562

NPI assigned

Nov 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mimi Kravitz Dewoskin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1780152488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 CENTRAL AVE STE 30",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933030",
            "telephone_number": "847-226-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 CENTRAL AVE STE 30",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933030",
            "telephone_number": "847-226-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAVITZ",
        "first_name": "MIMI",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MSW;LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIMI",
            "last_name": "DEWOSKIN",
            "middle_name": "KRAVITZ",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Denise Kitanovski
• Alison Faye Kleiman
• Katie Elizabeth Klein
• Susan Hatfield Koch, SUSAN KOCH M.D.
• Petros Kokinis, APRN
• Cathy Kreisel, LCSW
• James Kudrna, MD
• Ellen Joy Kupchick, LCSW
• Beata Kusnierz
• Henry Lahmeyer, MD SC

• Clinical Social Worker in Northfield, IL
• Providers in Northfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.