Individual provider Active NPI

Kathryn Renee Foust Allen, LSW

  • Social Worker
  • Burr Ridge, IL
National Provider Identifier
1902447444
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150103381 Issued in IL
Practice address
241 S Frontage Rd Ste 36
Burr Ridge, IL 60527-6169
Phone
(630) 974-6777
NPI assigned
Oct 7, 2019
Last updated
Oct 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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 150103381 IL Primary

Addresses

Primary practice location

241 S Frontage Rd Ste 36
Burr Ridge, IL 60527-6169

Mailing address

412 Hill St
Downers Grove, IL 60515-5125
Phone (317) 446-5146

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
150103381ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Relationshipstore LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1902447444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 HILL ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155125",
            "telephone_number": "317-446-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 S FRONTAGE RD STE 36",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276169",
            "telephone_number": "630-974-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUST ALLEN",
        "first_name": "KATHRYN",
        "middle_name": "RENEE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150103381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.