Kimberly Ann Kolarik, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-007969 Issued in IL

Practice address

501 N Dunlap Ave
Savoy, IL 61874-8403

Phone

(217) 693-6072

NPI assigned

Jun 2, 2015

Last updated

Sep 29, 2015By 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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carle Health Medical Group

  dba Carle Physician Group

  • Internal Medicine Physician
  • Urbana, IL
  • NPI 1154653947
  Medicare reassignment

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1831579135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 PARKDALE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618215463",
            "telephone_number": "630-234-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N DUNLAP AVE",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618748403",
            "telephone_number": "217-693-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLARIK",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-007969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan J. Juarez, DT-V, DT-O&M
• Katie Martin Therapy, LLC
• Kari Jo Keller
• Kyung Sook Kim, M.D.
• Marilyn L Kohl, PH.D.
• Chanel Kolthoff, LICSW, LCSW
• Jacqueline Kronlund, RD, LDN
• Shu Hau Lam, PHARMD
• Dana Louise Lamkin
• Launchpoint Therapy

• Clinical Social Worker in Savoy, IL
• Providers in Savoy, 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 Sep 29, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.