LIVING WELL CLINICAL CARE, LLC (NPI# 1790315075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790315075 |
| Entity Type | Organization |
| Organization Name | LIVING WELL CLINICAL CARE, LLC |
| Practice Address |
1306 Waukegan Rd Ste 201 Glenview IL 60025-3072 |
| Practice Telephone | 3128331004 |
| Mailing Telephone | 3128331004 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-25 |
| Authorized Official Name | KATHRYN N KRZYKALA (PSYCHOTHERAPIST/GRIEF THERAPIST) |
| Authorized Official Telephone | 3128331004 |
| Authorized Official Credential | LCSW, CAMS-II |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
1306 WAUKEGAN RD STE 201 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60025-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287118 | Nl Speech and Language Path LLC | Speech-Language Pathologist | 1315 Sherwood Rd., Glenview, IL 60025 | 2018-03-01 |
| 1982128021 | Quinn Goodwin | Speech-Language Pathologist | 41 Waukegan Rd., Glenview, IL 60025 | 2017-07-31 |
| 1447773684 | Roshni Jaimon | Nurse Practitioner | 616 Meadow Dr, Glenview, IL 60025 | 2017-07-19 |
| 1053840488 | Progressive Behavior Solutions LLC | Behavioral Analyst | 2519 Allison Court, Glenview, IL 60025 | 2017-06-08 |
| 1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
| 1073055398 | Imad Dababneh | Optometrist | 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 | 2016-11-17 |
| 1417400565 | Megan Bowman | Nutritionist | 1332 Waukegan Rd., Glenview, IL 60025 | 2016-07-25 |
| 1548621402 | Integrated Care Servises Corp | In Home Supportive Care | 4001 Amalfi Dr., Glenview, IL 60025 | 2016-03-18 |
| 1003277237 | Caring Nurses, Inc | Home Health | 1701 East Lake Ave, Suite 360, Glenview, IL 60025 | 2016-03-16 |
| 1033570841 | Sumy Johny | Pharmacist | 25 Waukegan Road, Glenview, IL 60025 | 2016-03-08 |
| Find all providers in zip 60025 | ||||
| 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 |
|---|---|---|---|---|
| 1043785967 | Breanna T Traub | Social Worker | 1975 Johns Dr, Glenview, IL 60025-1615 | 2018-10-06 |
| 1104341221 | Eileen Harte | Social Worker | 2302 Robincrest Ln, Glenview, IL 60025-4113 | 2017-08-09 |
| 1386171155 | Polly Levinson | Social Worker | 740 Juniper Rd, Glenview, IL 60025-3412 | 2017-05-11 |
| 1245766773 | Joyce Ann Hennelly | Social Worker | 4350 Di Paolo Ctr, Suite J, Glenview, IL 60025-5212 | 2017-05-03 |
| 1922531425 | Allison Ewing-elias | Social Worker | 1521 Buckingham Glen Cir, Glenview, IL 60026-1554 | 2017-04-11 |
| 1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
| 1841740966 | Nancy K Sillin | Social Worker | 920 Windsor Rd, Glenview, IL 60025-3131 | 2016-10-13 |
| 1073966800 | Maria Trakas Wallach | Social Worker | 633 Echo Ln, Glenview, IL 60025-3433 | 2016-07-17 |
| 1437532454 | Gyounghee Lee | Social Worker | 2600 Golf Rd Apt 706, Glenview, IL 60025-4749 | 2015-07-08 |
| 1114363231 | Kathryn Dana Livingston | Social Worker | 1322 Brook Ln, Glenview, IL 60025-2318 | 2013-05-15 |
| Find all providers in GLENVIEW | ||||
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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.