Christine Stevick Kandaras, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

340 Portwine Rd
Riverwoods, IL 60015-3831

Phone

(847) 405-0516

Fax

(847) 405-0516

NPI assigned

Aug 15, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811900053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 PORTWINE RD",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153831",
            "telephone_number": "847-405-0516",
            "fax_number": "847-405-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 PORTWINE RD",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153831",
            "telephone_number": "847-405-0516",
            "fax_number": "847-405-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDARAS",
        "first_name": "CHRISTINE",
        "middle_name": "STEVICK",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "049-72076",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Januszewski, LPC
• Jerry P Gore Center for Holistic Medicine LLC (Center for Holistic Medicine)
• Carly Jugo
• Jodi Alexander Kahn, M.S.P.T.
• Hiral Kanada
• Holly Katz, IL L.C.P.C, CO LPC
• Wonhyo Kim, PHYSICAL THERAPIST
• Tom Klein, MD
• Anita Ko, O.D.
• Lauren Koshaba, FNP-C

• Clinical Social Worker in Riverwoods, IL
• Providers in Riverwoods, 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.