Amanda M Kalins, LSCW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.013189 Issued in IL

Practice address

5000 S. 5TH Ave
Hines, IL 60141

Phone

(708) 202-8387

NPI assigned

Jan 13, 2009

Last updated

Jan 13, 2009By the provider in NPPES

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

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": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1811134810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28W280 PICARDY CT",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901724",
            "telephone_number": "708-702-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S. 5TH AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "60141",
            "telephone_number": "708-202-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALINS",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "LSCW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jan Ratliff Kaczmarczyk, LSW
• Alex Kaduthodil
• Nitha Dominic Kaduthodil
• Sheeba G Kaduthodil, BSN
• Lisa Ellen Kage, RN
• Jill Kalkofen-Jacobsen, CTRS
• Kori Ann Kallenborn, PHARMD
• Madeline Kallgren, RD
• Vishal Kamani, M.D.
• Anna Danielle Kamuda, PHARMD

• Clinical Social Worker in Hines, IL
• Providers in Hines, 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 Jan 13, 2009; 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.