Rebecca Kieffer, LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015242 Issued in IL

Legal business name

REBECCA KIEFFER, LCSW LLC

Practice address

2530 Crawford Ave
311
Evanston, IL 60201-4970

Phone

(224) 600-2531

Fax

(312) 945-7505

NPI assigned

Sep 3, 2016

Last updated

Feb 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Kieffer, LCSWNPI 1447394598

Title

Licensed Clinical Social Worker

Phone

(224) 600-2531

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Ann Kieffer, LCSW

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1447394598
  NPD (past) Authorized official

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

{
    "created_epoch": "1472860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1871040121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 CRAWFORD AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014924",
            "telephone_number": "224-600-2531",
            "fax_number": "312-945-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CRAWFORD AVE",
            "address_2": "311",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014970",
            "telephone_number": "224-600-2531",
            "fax_number": "312-945-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA KIEFFER, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-03",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "KIEFFER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "224-600-2531",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rci (WRS), LLC. (RUSH Physical Therapy)
• Betty L Read-Wolff, ATR
• Lesley Renee Reagan, ATR, LCPC
• Kathleen Wade Reardon, PHD
• Brenda Marie Reavis, LCSW
• Laura Anne Reckamp, APRN CNP, AGPCNP-BC
• Christina Lynn Reddington, NP
• Mamatha R. Reddy, MD
• Mythri Megan Reddy, M.D.
• Priya Desai Reddy

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, 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 Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.