Individual provider Active NPI

Lorraine Akane Kumagai, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1871160069
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149022553 Issued in IL
Practice address
710 S Paulina St Ste 438
Chicago, IL 60612-3808
Phone
(312) 947-5338
Fax
(312) 563-0668
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149022553 IL Primary

Addresses

Primary practice location

710 S Paulina St Ste 438
Chicago, IL 60612-3808

Mailing address

O 710 S Paulina St
Ste 438
Chicago, IL 60612
Phone (708) 850-3869

Other names 1

  • Ms. Akane Kumagai Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241119000818 IL Practitioner - Clinical Social Worker 1759816499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1725 W Harrison St
Suite 837
Chicago, IL 60612-3866
Phone (312) 942-6013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149022553ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Center CurrentSince Sep 12, 2024 Accepting new patients
Rush University Medical Group CurrentSince Sep 12, 2024 Accepting new patients
Rush University Medical Center Current Accepting new patients
Rush University Medical Center CurrentSince Sep 12, 2024 Accepting new patients

Locations

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1725 W Harrison St
Ste 837
Chicago, IL 60612
Phone (312) 942-6013

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

710 S Paulina St
Ste 438
Chicago, IL 60612
Phone (312) 563-2702

1653 W Congress Pkwy
Ste 739
Chicago, IL 60612
Phone (312) 942-3134

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1871160069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "O\t710 S PAULINA ST",
            "address_2": "STE 438",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "708-850-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S PAULINA ST STE 438",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123808",
            "telephone_number": "312-947-5338",
            "fax_number": "312-563-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAGAI",
        "first_name": "LORRAINE",
        "middle_name": "AKANE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149022553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AKANE",
            "last_name": "KUMAGAI",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.