MRS. KRISTIN MICHELLE KRIVICKAS (NPI# 1073814067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073814067 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN MICHELLE KRIVICKAS |
| Credential | LCSW, CRADC |
| Practice Address |
2215 14th St North Chicago IL 60064-1618 |
| Mailing Address |
343 Stevens Ct Grayslake IL 60030-3532 |
| Practice Telephone | 8479845231 |
| Mailing Telephone | 8476914840 |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2015-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
30486 | IL | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149015278 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2215 14TH ST |
| City | NORTH CHICAGO |
| State | IL |
| Zip Code | 60064-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275517880 | Danilo Alesna | Pediatrics | 2215 14th St, North Chicago, IL 60064-1618 | 2005-12-06 |
| 1023200706 | North Chicago Community Health Center | Public Health or Welfare | 2215 14th St, North Chicago, IL 60064-1618 | 2007-08-15 |
| 1346449527 | Elizabeth S Nodine | Family Medicine | 2215 14th St, North Chicago, IL 60064-1618 | 2007-07-17 |
| 1083643118 | County of Lake | Clinic/Center | 2215 14th St, North Chicago, IL 60064-1618 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964084 | Corbin Paul Edmondson | Student in an Organized Health Care Education/Training Program | 3333 Greenbay Rd, North Chicago, IL 60064 | 2020-05-28 |
| 1881247534 | Aravind Reddy Kuchkuntla | Internal Medicine | 333 Greenbay Road, North Chicago, IL 60064 | 2019-07-22 |
| 1447721121 | Elise Teichman | Nurse Practitioner | 3001 Green Bat Rd, North Chicago, IL 60064 | 2018-12-06 |
| 1841711397 | Abhinav Kumar Nadipalli | Internal Medicine | 3333 Greenbay Road, North Chicago, IL 60064 | 2017-07-05 |
| 1376082503 | A Plus Untited Taxi Limosine | Taxi | 1721 Sheridan Rd, Suite C, North Chicago, IL 60064 | 2017-02-21 |
| 1003351503 | Jacob S Lewis, Dmd, P.C. | Dentist | 2233 Greenbay Rd, North Chicago, IL 60064 | 2016-12-20 |
| 1730635095 | Siva Rama Krishna Cheetirala | Internal Medicine | Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 | 2016-08-28 |
| 1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
| 1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
| 1134521669 | Seyed Kamran Hejazi Kenari | Internal Medicine | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 | 2014-09-16 |
| Find all providers in zip 60064 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376964320 | Alesia Bates | Social Worker | 3001 Green Bay Rd # 18b, North Chicago, IL 60064-3048 | 2013-12-18 |
| 1881622991 | Annamma T Varghese | Social Worker | 3001 Green Bay Rd., North Chicago, IL 60064 | 2006-06-29 |
| 1083641435 | Gregory Grace | Social Worker | 3001 N. Greenbay Rd, North Chicago, IL 60064-2318 | 2006-06-28 |
| 1023628609 | Michelle Therese Dubil | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-08-07 |
| 1962028241 | Samantha Lynn Tuminaro | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-22 |
| 1295373868 | Jamie Chapman | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2019-12-14 |
| 1104475599 | Jennifer Zuniga Hammond | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2019-09-09 |
| 1457919169 | Emily Nelson | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2019-05-29 |
| 1023578424 | Sherisa R Benson | Social Worker | 3001 Green Bay Rd, Bldg 131/rm63, North Chicago, IL 60064-3048 | 2019-03-21 |
| 1033673744 | Justin Padaoan | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2019-01-27 |
| Find all providers in NORTH CHICAGO | ||||
| City | NORTH CHICAGO |
| Zip Code | 60064 |
Please comment or provide details below to improve the information on MRS. KRISTIN MICHELLE KRIVICKAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.