Individual provider Active NPI

Kathryn Rose Richie, LCSW, CADC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1902386196
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.020312 Issued in IL
Practice address
1800 N Hermitage Ave
Chicago, IL 60622-1161
Phone
(312) 948-6533
Fax
(312) 382-1612
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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 149.020312 IL Primary

Addresses

Primary practice location

1800 N Hermitage Ave
Chicago, IL 60622-1161

Mailing address

1514 N Wood St # 2N
Chicago, IL 60622-2011
Phone (507) 210-9769

Other practice location 1

1525 E 53rd St Ste 514-6
Chicago, IL 60615-4557
Phone (312) 985-6155

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.020312ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1902386196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 N WOOD ST # 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222011",
            "telephone_number": "507-210-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N HERMITAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221161",
            "telephone_number": "312-948-6533",
            "fax_number": "312-382-1612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 E 53rd St Ste 514-6",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606154557",
            "country_code": "US",
            "telephone_number": "312-985-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHIE",
        "first_name": "KATHRYN",
        "middle_name": "ROSE",
        "credential": "LCSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.