Kannan Vinaitheerthan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018968 Issued in IL

Practice address

1215 Washington Ave Ste 301
Wilmette, IL 60091-2574

Phone

(630) 615-1670

NPI assigned

Jan 29, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kannan Vinaitheerthan, Inc.

  • Clinical Social Worker
  • Lincolnwood, IL
  • NPI 1578210571
  NPD Authorized official

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790175768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 WASHINGTON AVE STE 301",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912574",
            "telephone_number": "630-615-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 WASHINGTON AVE STE 301",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912574",
            "telephone_number": "630-615-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINAITHEERTHAN",
        "first_name": "KANNAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Verderber
• Victoria Y. Hass PHD, PLLC
• Village Dermatology, SC
• Village of Wilmette
• Village of Wilmette
• Viridian Medical Group, PLLC
• Vital Balance Psychiatry PLLC
• Emily Vo
• Patricia Viviana Voloschin-Weiner, LCPC
• Amy Claire Wagner, PH.D., L.M.F.T.

• Clinical Social Worker in Wilmette, IL
• Providers in Wilmette, 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 Jul 21, 2022; 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.