Individual provider Active NPI

Karin Marie Stortz, LCSW

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1902240989
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.015687 Issued in IL
Practice address
101 N Marion St
Suite 302
Oak Park, IL 60301-1167
Phone
(708) 224-7832
Fax
(708) 777-4447
NPI assigned
Apr 22, 2013
Last updated
Apr 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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 149.015687 IL Primary

Addresses

Primary practice location

101 N Marion St
Suite 302
Oak Park, IL 60301-1167

Mailing address

101 N Marion St
Suite 302
Oak Park, IL 60301-1167
Phone (708) 224-7832

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
149.015687ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1902240989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MARION ST",
            "address_2": "SUITE 302",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011167",
            "telephone_number": "708-224-7832",
            "fax_number": "708-777-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MARION ST",
            "address_2": "SUITE 302",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011167",
            "telephone_number": "708-224-7832",
            "fax_number": "708-777-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORTZ",
        "first_name": "KARIN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.