Kevin T Wolter LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KEVIN T WOLTER LCSW LLC

Practice address

6830 Carpenter St
Downers Grove, IL 60516-3435

Phone

(224) 406-2056

NPI assigned

Aug 13, 2024

Organization subpart

No

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

Authorized official

Name

Kevin T Wolter, LCSWNPI 1487170551

Title

Licensed Clinical Social Worker

Phone

(224) 406-2056

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Thomas Wolter, LCSW

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1487170551
  NPD Authorized official

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1891526489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 CARPENTER ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163435",
            "telephone_number": "224-406-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 CARPENTER ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163435",
            "telephone_number": "224-406-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN T WOLTER LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "WOLTER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "224-406-2056",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Anne Kennedy, D.C.
• Kennetic Rehab Services, Inc
• Lisa Kernaghan
• Debra Kerwin
• Peter Michael Kerwin, MD
• Mahin Khader-Namoff, LCPC
• Arsalan Jawed Khan, M.D.
• Hajira Younas Khan, MD
• Husna Khan, DO
• Khadija T Khan, MD

• Clinical Social Worker in Downers Grove, IL
• Providers in Downers Grove, 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 Sep 16, 2024; 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.