COLLEEN KONCILJA (NPI# 1194048132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194048132 |
| Entity Type | Individual |
| Full Name | COLLEEN KONCILJA |
| Credential | LCSW |
| Practice Address |
850 W Bartlett Rd Ste 14c Bartlett IL 60103-4454 |
| Practice Telephone | 6308647267 |
| Practice Fax Number | 6305960743 |
| Mailing Telephone | 6038647267 |
| Mailing Fax Number | 6305960743 |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2020-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149008267 | IL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 850 W Bartlett Rd Ste 14c, Bartlett, IL 601034454 | 6308647267 | 6305960743 |
| 2 American Way, Elgin, IL 601204341 | 8477423545 | 8476975583 |
| Street Address |
850 W BARTLETT RD STE 14C |
| City | BARTLETT |
| State | IL |
| Zip Code | 60103-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720317407 | Rae Magnani | Counselor | 850 W Bartlett Rd Ste 14c, Bartlett, IL 60103-4454 | 2009-12-09 |
| 1679190433 | Megan Quinn | Social Worker | 850 W Bartlett Rd Ste 14c, Bartlett, IL 60103-4454 | 2020-06-28 |
| 1326319773 | Morgan Kolecke | Counselor | 850 W Bartlett Rd Ste 14c, Bartlett, IL 60103-4454 | 2012-01-17 |
| 1083995419 | Reshma Joshi Lagomarcino | Counselor | 850 W Bartlett Rd Ste 14c, Bartlett, IL 60103-4454 | 2011-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467916593 | Nicole Taylor Gerdevich | Specialist/Technologist | 1302 Branden Lane, Bartlett, IL 60103 | 2019-01-23 |
| 1154817823 | Ada Oguejiofor | Registered Nurse | 269 Norway Drive, Bartlett, IL 60103 | 2018-07-06 |
| 1295153765 | Paul Alegro | Physical Therapy Assistant | 810 Seacrest Lane, Bartlett, IL 60103 | 2014-04-02 |
| 1184051211 | John Katsis | Dentist | 110 S. Oak Avenue, Bartlett, IL 60103 | 2013-10-03 |
| 1356786743 | Rajiv Puri PC | Dentist | 849 S Route 59, Bartlett, IL 60103 | 2013-04-30 |
| 1356786784 | Gilbert Noble Bael | Physical Therapist | 829 Carillon Drive, Bartlett, IL 60103 | 2013-04-29 |
| 1912282641 | Elaine S Tate | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-10-13 |
| 1104108968 | Sonal Vyas | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-09-16 |
| 1144502261 | Les Edward Wingert | Pharmacist | 891 South Route 59, Bartlett, IL 60103 | 2011-09-14 |
| 1629389564 | Hope Hebert | Counselor | 364 Sundance Drive, Bartlett, IL 60103 | 2010-06-25 |
| Find all providers in zip 60103 | ||||
| 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 |
|---|---|---|---|---|
| 1356982342 | Elizabeth Litzinger Gillaspie | Social Worker | 3633 Appling Lake Dr, Bartlett, TN 38133-2705 | 2019-10-01 |
| 1043787401 | Tammy Davis | Social Worker | 5692 Crievewood Dr, Bartlett, TN 38135-1006 | 2018-10-24 |
| 1912459082 | Patricia Radley | Social Worker | 1312 Timberline Dr, Bartlett, IL 60103-1503 | 2016-10-25 |
| 1245621713 | Maria Wywialowski | Social Worker | 1247 Spaulding Rd, Bartlett, IL 60103-1248 | 2015-02-05 |
| 1932373040 | Carolyn Doyle | Social Worker | 1174 Pointsetta Ln, Bartlett, IL 60103-5831 | 2008-04-18 |
| 1306862966 | Mandy Klein | Social Worker | 3205 Kirby Whitten 203 Suite D, Bartlett, TN 38134-2853 | 2006-07-15 |
| 1174045256 | Dione Latrice Catron | Social Worker | 6520 Stage Rd, Bartlett, TN 38134-3808 | 2017-07-11 |
| 1710350962 | Annapoorna Ayyagari, LLC | Social Worker | 2784 Bartlett Blvd, Bartlett, TN 38134-4530 | 2015-11-10 |
| 1942441894 | Karen P Reed | Social Worker | 6510 Stage Rd, Suite 3, Bartlett, TN 38134-3892 | 2009-03-23 |
| 1740449958 | Lakesha K. Jones | Social Worker | 7410 Memphis Arlington Rd, Bartlett, TN 38135-1908 | 2008-06-03 |
| Find all providers in BARTLETT | ||||
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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.