Active NPI
Kathryn Rose Richie, LCSW, CADC
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1902386196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.020312
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.020312 | IL | MD | Clinical 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.