Cheryl Ann Kolbusz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149008875 Issued in IL

Practice address

109 S Jefferson St
Woodstock, IL 60098-3465

Phone

(815) 338-8324

Fax

(815) 206-0146

NPI assigned

Aug 3, 2011

Last updated

Aug 3, 2011By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Thresholds

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodstock, IL
  • NPI 1629224944
  NPD (past)

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1891073177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S JEFFERSON ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983465",
            "telephone_number": "815-338-8324",
            "fax_number": "815-206-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S JEFFERSON ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983465",
            "telephone_number": "815-338-8324",
            "fax_number": "815-206-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBUSZ",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Dabin Kim, DMD
• Helen Y Kim, DMD
• Sihun Alex Kim, MD
• Adam Erwin Kling, RPH
• Susan Ann Klouda
• Jennifer Kolbusz
• Katlyn Koskotas, APRN
• Shannon Kosmatka, PTA
• Cari Koss
• Grazyna Kostecki

• Clinical Social Worker in Woodstock, IL
• Providers in Woodstock, 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 Aug 3, 2011; 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.