Kevin Barrett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.015772 Issued in IL

Practice address

4619 N Ravenswood
Suite 1604
Chicago, IL 60640-7212

Phone

(312) 834-7778

NPI assigned

Jan 31, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 2, 2024 through Nov 2, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• KHB Psychotherapy PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1114891322
  NPD Authorized official
• Freestone Psychotherapy LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1144686122
  NPD (past) Authorized official

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1821360397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 N RAVENSWOOD AVE",
            "address_2": "SUITE 303C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404580",
            "telephone_number": "312-834-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 N RAVENSWOOD",
            "address_2": "SUITE 1604",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407212",
            "telephone_number": "312-834-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "KEVIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-31",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.013448",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Barrett
• Elisabeth Rachel Barrett, DNP, APRN, FNP-C
• James Thomas Barrett, M.D.
• Karson Barrett, PT, DPT
• Katherine Maureen Barrett, M.S CCC- SLP
• Patrick Joseph Barrett, MD
• Reid Barrett
• Sara D Barrett, PHD
• Skyler Louise Barrett, DT
• Taylor Dawn Barrett

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.