MS. KRISTIN J.N. CHAE


Address: 4256 N Ravenswood Ave, Suite 212, Chicago, IL 60613-1110
Phone: 3128809429

MS. KRISTIN J.N. CHAE (NPI# 1700026820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700026820
Entity Type Individual
Full Name MS. KRISTIN J.N. CHAE
Other Name KRISTIN J NERGER
Credential MSW, LCSW
Practice Address 4256 N Ravenswood Ave
Suite 212
Chicago
IL 60613-1110
Practice Telephone 3128809429
Mailing Telephone 3128809429
Enumeration Date 2009-03-02
Last Update Date 2013-04-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
149013459 IL Behavioral Health & Social Service Providers

Office Location

Street Address 4256 N RAVENSWOOD AVE
SUITE 212
City CHICAGO
State IL
Zip Code 60613-1110

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1477925956 Julia Noobler Social Worker 4256 N Ravenswood Ave, Suite 212, Chicago, IL 60613-1114 2015-10-23
1770954877 Stephanie Fowler Counselor 4256 N Ravenswood Ave, Suite 213, Chicago, IL 60613-1114 2015-10-14
1184017394 Seth Solway Psychologist 4256 N Ravenswood Ave, Ste 211, Chicago, IL 60613-1114 2015-03-12
1194116731 Priscilla Kang Lcsw LLC Social Worker 4256 N Ravenswood Ave, Suite 212, Chicago, IL 60613-1114 2015-02-17
1306237870 Tatiana Jaramillo Nurse Practitioner 4256 N Ravenswood Ave, Chicago, IL 60613-1114 2015-02-05
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

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Competitor

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City CHICAGO
Zip Code 60613

Improve Information

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Dataset Information

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.

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