Kathryn Stanley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012519 Issued in IL

Practice address

174 E 154TH St Ste 200
174 E. 154TH St, Suite 200
Harvey, IL 60426-3327

Phone

(708) 339-0040

Fax

(708) 339-0290

NPI assigned

Nov 29, 2012

Last updated

Nov 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Halfway House Committee, Inc.

  dba Sadie Waterford Assessment & Therapy Center

  • Mental Health Counselor
  • Harvey, IL
  • NPI 1689971764
  NPD (past)
• Sadie Waterford Manor Assessment and Therapy Center

  • Mental Health Counselor
  • Harvey, IL
  • NPI 1306980321
  NPD (past)

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1972848125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 E 154TH ST STE 200",
            "address_2": "SADIE WATERFORD ASSESSMENT & THERAPY CENTER",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263327",
            "telephone_number": "708-339-0040",
            "fax_number": "708-339-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 E 154TH ST STE 200",
            "address_2": "174 E. 154TH ST, SUITE 200",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263327",
            "telephone_number": "708-339-0040",
            "fax_number": "708-339-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enric P. Solans, M.D.
• South Shore Behavioral Consultants
• Southwest Laboratory Physicians, S.C.
• Karen Sperti
• Stairway to Greatness Mentorship-Entrepreneurship Program
• Star Med Lab, Inc
• Janet Vokoun Starck, M.D.
• Nicole Stephen, PHARMD
• Anita A. Stewart, M.D.
• Mark Stossel, M.D.

• Clinical Social Worker in Harvey, IL
• Providers in Harvey, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.