Kari Lynn Glenn-Fitzgerald, MS

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.015213 Issued in IL

Practice address

200 N Fairway Dr Ste 208
Suite 208
Vernon Hills, IL 60061-1803

Phone

(847) 996-6666

NPI assigned

Oct 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Therapediatrics, LLC

  • Mental Health Counselor
  • Vernon Hills, IL
  • NPI 1720098734

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1790252104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N FAIRWAY DR STE 208",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N FAIRWAY DR STE 208",
            "address_2": "SUITE 208",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611803",
            "telephone_number": "847-996-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN-FITZGERALD",
        "first_name": "KARI",
        "middle_name": "LYNN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.015213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON MEDICARE",
            "identifier": "150.015213",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle C Gianfriddo, O.D.
• Deanne K Giannola, PA-C
• Anna Maria Giorgetti, M.D.
• Rosemary S Giovannone, PH.D.
• Gita Physical Therapy PLLC
• Troy Lewis Glickstern, LPC
• Goduco Family Dentistry, LTD.
• Philip Villejo Goduco, DDS
• Leslie Ann Golde, LCSW
• Michelle Lynn Goldstein

• Social Worker in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.