Prabhdeep Kaur, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149016496 Issued in IL

Practice address

745 McClintock Dr Ste 100
Burr Ridge, IL 60527-0863

Phone

(630) 491-6846

NPI assigned

Sep 27, 2019

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mosaic Counseling and Wellness LLCGroup PAC ID 1355728353, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mosaic Counseling and Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oak Park, IL
  • NPI 1851065502
  Medicare reassignment Care Compare group NPD
• Rising Phoenix Mental Health PLLC

  • Clinical Psychologist
  • Burr Ridge, IL
  • NPI 1669180493
  Medicare reassignment
• Chicagoland Counseling PLLC

  • Clinical Social Worker
  • Aurora, IL
  • NPI 1265215925
  NPD (past)

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1851942155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 FOUNDERS POINTE N",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081458",
            "telephone_number": "630-977-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 MCCLINTOCK DR STE 100",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270863",
            "telephone_number": "630-491-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "PRABHDEEP",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassar MD Inc
• Shaden Kassar
• Biljana Kasum, LCPC
• Kat Pediatric Therapy
• Hiba Katerji
• Kristin Rae Keen
• Kevin Kell, LCSW
• Mary Jane Kelly, COTA
• Mouhammed Kelta, M.D
• Kerstin Blumhardt, PLLC

• Clinical Social Worker in Burr Ridge, IL
• Providers in Burr Ridge, 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 Dec 16, 2024; 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.