KELLY RICHTER (NPI# 1508315557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508315557 |
| Entity Type | Individual |
| Full Name | KELLY RICHTER |
| Practice Address |
581 William Latham Dr Bourbonnais IL 60914-2317 |
| Mailing Address |
16027 Oak Ave Oak Forest IL 60452-4028 |
| Practice Telephone | 8159323823 |
| Mailing Telephone | 8159323823 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2020-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 150,101968 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487858643 | Kelly Garrison Richter | Social Worker | 4550 North Blvd Ste 250, Baton Rouge, LA 70806-4013 | 2007-06-12 |
| 1205065257 | Kelly Marie Richter | Speech-Language Pathologist | 1930 E Southern Ave, Tempe, AZ 85282 | 2009-07-13 |
| 1003847815 | Kelly A Richter | Emergency Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-07-06 |
| Street Address |
581 WILLIAM LATHAM DR |
| City | BOURBONNAIS |
| State | IL |
| Zip Code | 60914-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780631317 | Hines Vamc | Clinic/Center | 581 William Latham Dr, Bourbonnais, IL 60914-2317 | 2006-05-28 |
| 1861733792 | Sleep Medicine Specialists LLC | Clinic/Center | 581 William Latham Dr, Suite 302, Bourbonnais, IL 60914-2317 | 2013-03-01 |
| 1528361268 | Cynthia L Goldrick | Physician Assistant | 581 William Latham Dr, Suite 103, Bourbonnais, IL 60914-2317 | 2010-12-20 |
| 1215110515 | Zaheer Pediatric Associates, Sc | Pediatrics | 581 William Latham Dr, Suite 101, Bourbonnais, IL 60914-2317 | 2007-12-10 |
| 1801091392 | Megan Patricia Woitas | Family Medicine | 581 William Latham Dr, Suite 102, Bourbonnais, IL 60914-2317 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1467069823 | Alicia Nicole Kendra | Nurse Practitioner | Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 | 2020-09-29 |
| 1043860877 | Victor Manuel Vazquez Cervantes | Pharmacist | 2080 No, Il-50, Bourbonnais, IL 60914 | 2019-09-13 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1770074577 | Colin P Koerner | Physical Therapist | 215 N Convent St Ste 6, Bourbonnais, IL 60914 | 2018-05-29 |
| 1306337340 | Megan Hoskins | Behavior Technician | 3187 N 2420 W Rd., Bourbonnais, IL 60914 | 2018-05-25 |
| 1932600459 | Thomas H George Dds PC | Clinic/Center | 14 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2018-02-21 |
| 1780193904 | Kathleen M Saindon II | Speech-Language Pathologist | 1021 Deer Trail, Bourbonnais, IL 60914 | 2017-09-20 |
| 1457870206 | Janet Mary Notton | Speech-Language Pathologist | 920 W Margaret Lane, Bourbonnais, IL 60914 | 2017-09-13 |
| 1134646375 | Sagar Batish | Student in an Organized Health Care Education/Training Program | 1096 Country Lane, Bourbonnais, IL 60914 | 2017-08-28 |
| Find all providers in zip 60914 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295210 | Rachel H Maldonado | Social Worker | 312 Park Ave, Clarendon Hills, IL 60514-0400 | 2020-11-03 |
| 1982204889 | Emily Cotto | Social Worker | 521 S La Grange Rd Ste 201, La Grange, IL 60525-5633 | 2020-10-29 |
| 1689274763 | Matthew L Fetrow | Social Worker | 3001 Green Bay Rd Bldg 7, North Chicago, IL 60064-3048 | 2020-10-28 |
| 1013516517 | Jessica Ann Kurpiel | Social Worker | 244 N Craig Pl, Lombard, IL 60148-2007 | 2020-10-26 |
| 1699375121 | Deanna L Reed | Social Worker | 23819 W Mill St Ste 9, Plainfield, IL 60544-3460 | 2020-10-26 |
| 1285233825 | Grace Harrington | Social Worker | 1040 North Blvd Ste 225, Oak Park, IL 60301-1143 | 2020-10-24 |
| 1881293579 | Sheri Mccue | Social Worker | 4209 W Shamrock Ln # 1a, Mchenry, IL 60050-8700 | 2020-10-22 |
| 1811595325 | Veronica Lozano | Social Worker | 1 E Erie St Ste 525-4066, Chicago, IL 60611-2740 | 2020-10-16 |
| 1336747633 | Latrisha Mooberry | Social Worker | 2001 W Willow Knolls Dr Ste 210, Peoria, IL 61614-1257 | 2020-10-09 |
| 1285231688 | Alyssa Oddo | Social Worker | 2011 Gladstone Dr, Wheaton, IL 60189-5825 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | BOURBONNAIS |
| Zip Code | 60914 |
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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.