KATHLEEN CARLSON (NPI# 1134207509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134207509 |
| Entity Type | Individual |
| Full Name | KATHLEEN CARLSON |
| Credential | MSW LCSW BCD |
| Practice Address |
11309 Distinctive Dr Orland Park IL 60467 |
| Practice Telephone | 7084788260 |
| Mailing Telephone | 7084788260 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267704 | Kathleen E Carlson | Social Worker | 260 Liberty St, Braintree, MA 02184-6030 | 2020-08-26 |
| 1831210731 | Kathleen Carlson | Registered Nurse | 2470 Charmany Way, Mc Farland, WI 53558-9720 | 2007-04-02 |
| 1679668552 | Kathleen Loree Carlson | Obstetrics & Gynecology | 7614 E 91st Street, Suite 100, Tulsa, OK 74133-6047 | 2006-10-04 |
| 1447208723 | Kathleen Sue Carlson | Licensed Practical Nurse | 5224 W Jerelyn Pl, Milwaukee, WI 53219-2273 | 2006-05-05 |
| 1528541992 | Kathleen Carlson | Marriage & Family Therapist | 1710 South Amphlett Blvd, Suite 210h, San Mateo, CA 94402 | 2018-09-12 |
| 1982185906 | Kathleen Anne Carlson | Registered Nurse | 35 12th St Se, Paris, TX 75460-6006 | 2018-08-27 |
| 1962778050 | Kathleen Carlson | Internal Medicine | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2012-03-22 |
| 1003946856 | Kathleen M Carlson | Internal Medicine | 2955 S Broadway, Englewood, CO 80113-1526 | 2007-03-07 |
| 1629180161 | Kathleen Carlson | Nurse Practitioner | 1375 W Green St, Hastings, MI 49058-1718 | 2006-08-31 |
| 1043253081 | Kathleen A Carlson | Internal Medicine | 3900 St Francis Way Ste 200, Lafayette, IN 47905 | 2006-06-14 |
| Street Address |
11309 DISTINCTIVE DR |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730100777 | Ruth Ann Welding | Social Worker | 11309 Distinctive Dr, Orland Park, IL 60467-9460 | 2006-07-23 |
| 1780059345 | Chudy Counseling Services Inc | Clinic/Center | 11309 Distinctive Dr, Orland Park, IL 60467-9490 | 2015-12-08 |
| 1790173011 | Julie S. Blackburn | Counselor | 11309 Distinctive Dr, Orland Park, IL 60467-9490 | 2015-01-08 |
| 1235576026 | V. Manger Counseling Services | Counselor | 11309 Distinctive Dr, Suite 3, Orland Park, IL 60467-9490 | 2013-06-03 |
| 1568752244 | Vernie R. Manger | Counselor | 11309 Distinctive Dr, Suite 3, Orland Park, IL 60467-9490 | 2011-04-14 |
| 1003146572 | Meghan Marie Garland | Counselor | 11309 Distinctive Dr, Orland Park, IL 60467-9490 | 2010-01-06 |
| 1982838124 | Douglas Richard Fulmer | Social Worker | 11309 Distinctive Dr, Suite #3, Orland Park, IL 60467-9490 | 2009-05-02 |
| 1790982908 | James Paul Simmerer | Social Worker | 11309 Distinctive Dr, Orland Park, IL 60467-9460 | 2007-06-29 |
| 1851442628 | James Simmerer, Lcsw, Counseling & Psychotherapy Services, LLC | Social Worker | 11309 Distinctive Dr, Orland Park, IL 60467-9460 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435666 | Abigail Flaherty | Specialist/Technologist | 17430 Brookwood Ct, Orland Park, IL 60467 | 2019-09-04 |
| 1114483567 | Allison Winkelman I | Behavioral Analyst | 8505 West 183rd Street, Ste D, Tinley Park, ID 60467 | 2019-02-11 |
| 1043794332 | Stella Lewally | Nurse Practitioner | 11528 183rd St, Orland Park, IL 60467 | 2018-09-21 |
| 1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
| 1467955781 | Dr Matthew E Schmidt & Associates Ophthalmologists S.c. | Eyewear Supplier (Equipment, not the service) | 10732 W 165th St, Orland Park, IL 60467 | 2018-03-13 |
| 1053835694 | Mbr In-home Care, LLC | In Home Supportive Care | 16616 S 107th Court, Orland Park, IL 60467 | 2017-07-26 |
| 1568984029 | Meaghan Hansen Hansen | Nurse Practitioner | Laser Spine Center of Chicago, 16604 S. 107th Ct., Orland Park, IL 60467 | 2017-07-16 |
| 1790212587 | Maria Degrazia Cohen | Developmental Therapist | 9800 Liberty Circle, 3w, Orland Park, IL 60467 | 2017-05-11 |
| 1902354319 | Debra Kramer | Nurse Practitioner | 14315 South 108th Ave., Suite 215, Orland Park, IL 60467 | 2016-09-14 |
| 1689071524 | Morgan Johnson | Specialist/Technologist | 11141 Saratoga Drive, Orland Park, IL 60467 | 2014-11-20 |
| Find all providers in zip 60467 | ||||
| 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 |
|---|---|---|---|---|
| 1801497623 | Sedulous Counseling & Consulting Services Pllc | Social Worker | 15255 S 94th Ave # 508, Orland Park, IL 60462-3800 | 2020-11-06 |
| 1881258309 | Brittany Carol Jesernik | Social Worker | 15317 Sunset Ridge Dr, Orland Park, IL 60462-4025 | 2019-04-30 |
| 1801362041 | Melody Wilson | Social Worker | 15128 S La Grange Rd, Orland Park, IL 60462-9801 | 2018-10-15 |
| 1871002840 | Susan Lach | Social Worker | 9601 165th St Ste 6, Orland Park, IL 60467-5661 | 2017-09-21 |
| 1891221974 | Diane Nickless | Social Worker | 11114 Karen Dr, Orland Park, IL 60467-4482 | 2017-05-10 |
| 1841694569 | Melanie Fordham | Social Worker | 17930 Settlers Pond Way, Unit 3d, Orland Park, IL 60467-5254 | 2014-10-09 |
| 1184968893 | Olivia Rodgers-hannan | Social Worker | 9601 165th St Ste 2, Orland Park, IL 60467-5661 | 2012-11-19 |
| 1093070989 | Heather Mcreynolds | Social Worker | 15158 Huntington Ct, Orland Park, IL 60462-3544 | 2012-07-07 |
| 1740552256 | Kristy Lynn Garry | Social Worker | 9631 W 153rd St Ste 37, Orland Park, IL 60462-3778 | 2012-01-30 |
| 1659546752 | Margaret Mary Zornick-mannaioni | Social Worker | 16161 Laurel Dr, Orland Park, IL 60462-5634 | 2008-04-29 |
| Find all providers in ORLAND PARK | ||||
| City | ORLAND PARK |
| Zip Code | 60467 |
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| 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.