Individual provider Active NPI

Carlie Krider

  • Social Worker
  • Northbrook, IL
National Provider Identifier
1982444964
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
899 Skokie Blvd Ste 408
Northbrook, IL 60062-4024
Phone
(847) 559-3240
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 Primary

Addresses

Primary practice location

899 Skokie Blvd Ste 408
Northbrook, IL 60062-4024

Mailing address

3804 N Oakley Ave Unit 2
Chicago, IL 60618-3814
Phone (574) 304-3566

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sociability Groups, PLLC CurrentSince Jun 2, 2024 Accepting new patients
Sociability Therapy, PLLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

899 Skokie Blvd
Ste 408
Northbrook, IL 60062
Phone (847) 559-3240

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1982444964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 N OAKLEY AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183814",
            "telephone_number": "574-304-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 SKOKIE BLVD STE 408",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624024",
            "telephone_number": "847-559-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIDER",
        "first_name": "CARLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.