Kaitlin Walbrook
Individual provider Active NPI Social Worker · Glenwood, IL
NPI 1831063189 · NPPES record last updated Sep 30, 2025
Key facts
- NPI
- 1831063189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 150.117911 (IL)
- Practice address
- 18300 S Halsted St # 0
Glenwood, IL 60425-1039 - Phone
- (267) 246-2596
- NPI assigned
- Sep 30, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.117911 | IL | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.117911 | IL | Yes |
Addresses
Primary practice location
18300 S Halsted St # 0
Glenwood, IL 60425-1039
Mailing address
4224 Osage Ave Apt 311
Philadelphia, PA 19104-5017
Phone (312) 775-2047
Other providers in Glenwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.