CARL LEE BRAKMAN (NPI# 1689188716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689188716 |
| Entity Type | Individual |
| Full Name | CARL LEE BRAKMAN |
| Credential | LCSW |
| Practice Address |
7701 Kildare Ave Skokie IL 60076-3605 |
| Practice Telephone | 8479127669 |
| Mailing Telephone | 8479127669 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149002890 | IL | Behavioral Health & Social Service Providers |
| Street Address |
7701 KILDARE AVE |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| 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 |
|---|---|---|---|---|
| 1497362206 | Karen Chandler | Social Worker | 3424 Oakton St, Skokie, IL 60076-2979 | 2020-09-25 |
| 1013538867 | Abby Robinson Lcsw LLC | Social Worker | 10024 Skokie Blvd Ste 202, Skokie, IL 60077-9945 | 2020-05-04 |
| 1134757461 | Aundrea Moss | Social Worker | 9725 Woods Dr Unit 1111, Skokie, IL 60077-4454 | 2020-03-31 |
| 1497381735 | Catherine Mary Divane | Social Worker | 5233 Davis St, Skokie, IL 60077-1534 | 2020-03-18 |
| 1548807969 | Illinois Center for Trauma and Addiction Treatment LLC | Social Worker | 8001 Lincoln Ave Ste 711, Skokie, IL 60077-3695 | 2019-12-04 |
| 1376194381 | Melissa Pollack | Social Worker | 5225 Old Orchard Rd Ste 26a, Skokie, IL 60077-1027 | 2019-09-23 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1306343637 | Anna Finkelshtein | Social Worker | 4949 Church St Apt 101, Skokie, IL 60077-1247 | 2018-04-12 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1063964880 | Judith Gruber | Social Worker | 8646 Kedvale Ave, Skokie, IL 60076-2115 | 2016-10-27 |
| Find all providers in SKOKIE | ||||
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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.