Kathryn Lisa Pyrek Prahin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014276

Practice address

2236 W Winona St
Chicago, IL 60625-1832

Phone

(773) 620-1104

NPI assigned

Jul 25, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1627171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1871266007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 W WINONA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251832",
            "telephone_number": "773-620-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 W WINONA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251832",
            "telephone_number": "773-620-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAHIN",
        "first_name": "KATHRYN",
        "middle_name": "LISA PYREK",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-25",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "149014276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Veronica Prado, RN
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• Mary Kathryn Prahl, M.D.
• Praire Shores Dental (mercy dental center)
• Prairie Anesthesia LLC
• Prairie Foot & Ankle, P.C.
• Prairie Medical Associates

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Jul 25, 2021; 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.