Individual provider Active NPI

Geraldine Joyce Katz-Atkin, LCSW

  • Clinical Social Worker
  • Wheaton, IL
National Provider Identifier
1912985359
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149003754 Issued in IL
Practice address
255 E Liberty Dr Apt 605
Wheaton, IL 60187-5428
Phone
(630) 942-9370
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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 149003754 IL Primary

Addresses

Primary practice location

255 E Liberty Dr Apt 605
Wheaton, IL 60187-5428

Mailing address

255 E Liberty Dr Apt 605
Wheaton, IL 60187-5428
Phone (630) 269-3726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150128000341 IL Practitioner - Clinical Social Worker 9537483243 Practice locations: Wheaton, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Chicago, Pritzker School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

255 E Liberty Dr
Apt 605
Wheaton, IL 60187-5428
Phone (630) 269-3726

255 E Liberty Dr Apt
Suite 605
Wheaton, IL 60187-5428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149003754ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Geraldine Katz-Atkin P C Clinical CurrentSince Oct 11, 2014 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1912985359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E LIBERTY DR APT 605",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875428",
            "telephone_number": "630-269-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E LIBERTY DR APT 605",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875428",
            "telephone_number": "630-942-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ-ATKIN",
        "first_name": "GERALDINE",
        "middle_name": "JOYCE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.