Individual provider Active NPI

Linda Kay, LCSW

  • Clinical Social Worker
  • Oak Lawn, IL
National Provider Identifier
1922368497
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149006340 Issued in IL
Practice address
4544 W 103Rd St
Oak Lawn, IL 60453-4865
Phone
(708) 422-2898
Fax
(708) 636-8778
NPI assigned
May 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2012

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 149006340 IL Primary

Addresses

Primary practice location

4544 W 103Rd St
Oak Lawn, IL 60453-4865

Mailing address

4544 W 103Rd St
Oak Lawn, IL 60453-4865
Phone (708) 422-2898

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
I20160209001302 IL Practitioner - Clinical Social Worker 7214231414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Iowa, RJ & L Carver College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blackbird Behavioral Health PCGroup PAC ID 4284998212, 3 clinicians

Practice addresses (Care Compare)

715 Lake St
Suite 410
Oak Park, IL 60301-1413
Phone (708) 209-8987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149006340ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blackbird Behavioral Health, PC CurrentSince Feb 4, 2018 Accepting new patients
PCLN & Associates LLC Clinical Past Accepting new patients

Locations

715 Lake St
Ste 410
Oak Park, IL 60301
Phone (708) 209-8987

Organizations & group practices 2

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": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1922368497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4544 W 103RD ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534865",
            "telephone_number": "708-422-2898",
            "fax_number": "708-636-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4544 W 103RD ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534865",
            "telephone_number": "708-422-2898",
            "fax_number": "708-636-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAY",
        "first_name": "LINDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.