Individual provider Active NPI

Kristen Wuich Kauke, LCSW

  • Clinical Social Worker
  • St Charles, IL
National Provider Identifier
1992951529
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009979 Issued in IL
Practice address
303 N 2ND St Ste 24
St Charles, IL 60174-1804
Phone
(630) 463-9070
NPI assigned
Aug 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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 149009979 IL Primary

Addresses

Primary practice location

303 N 2ND St Ste 24
St Charles, IL 60174-1804

Mailing address

1812 Ronzheimer Ave
St Charles, IL 60174-4665
Phone (630) 674-4188

Other practice location 1

1120 E Main St
Ste. 102
St Charles, IL 60174-2287
Phone (630) 377-6613

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
149009979ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1992951529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 RONZHEIMER AVE",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601744665",
            "telephone_number": "630-674-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N 2ND ST STE 24",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741804",
            "telephone_number": "630-463-9070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 E Main St",
            "address_2": "Ste. 102",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601742287",
            "country_code": "US",
            "telephone_number": "630-377-6613",
            "fax_number": "630-377-6625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUKE",
        "first_name": "KRISTEN",
        "middle_name": "WUICH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.