Individual provider Active NPI

Kelly Barbara Kremske, LSW

  • Social Worker
  • Naperville, IL
National Provider Identifier
1891316683
Registry record updated May 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.103402 Issued in IL
Practice address
500 E Ogden Ave Ste 101
Naperville, IL 60563-3264
Phone
(331) 444-2342
NPI assigned
May 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.103402 IL Primary

Addresses

Primary practice location

500 E Ogden Ave Ste 101
Naperville, IL 60563-3264

Mailing address

959 S Kirk Ave
Elmhurst, IL 60126-5128
Phone (773) 316-0119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150.103402ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1588464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588464000000",
    "number": "1891316683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 S KIRK AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265128",
            "telephone_number": "773-316-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E OGDEN AVE STE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633264",
            "telephone_number": "331-444-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMSKE",
        "first_name": "KELLY",
        "middle_name": "BARBARA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-03",
        "last_updated": "2020-05-03",
        "certification_date": "2020-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.103402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2020; 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.