KRISTINA BYRD (NPI# 1790297562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790297562 |
Entity Type | Individual |
Full Name | KRISTINA BYRD |
Credential | LCSW |
Practice Address |
1715 E 95th St Chicago IL 60617-4708 |
Mailing Address |
30 W Monroe St Ste 1200 Chicago IL 60603-2420 |
Practice Telephone | 7737684437 |
Practice Fax Number | 7735643515 |
Mailing Telephone | 3127339730 |
Mailing Fax Number | 7738668014 |
Enumeration Date | 2017-11-01 |
Last Update Date | 2017-11-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
149019505 | IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | STATE LICENSE NUMBER | 149019505 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326498338 | Kristina Michelle Byrd | Nurse Practitioner | 56 Marie Langdon Dr, Manchester, KY 40962-6329 | 2016-06-21 |
1386066330 | Kristina Marie Byrd | Counselor | 6110 Shallowford Rd, Suite B, Chattanooga, TN 37421-1894 | 2014-01-10 |
1801220702 | Kristina Byrd | Licensed Practical Nurse | 6339 Mill Street, Rhinebeck, NY 15272 | 2013-08-27 |
1306159637 | Kristina Clare Byrd | Audiologist | 5395 Ruffin Rd, Suite #102, San Diego, CA 92123-1338 | 2010-07-15 |
Street Address |
1715 E 95TH ST |
City | CHICAGO |
State | IL |
Zip Code | 60617-4708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003082488 | Kevin Paul Malone | Podiatrist | 1715 E 95th St, Chicago, IL 60617-4708 | 2008-05-05 |
1215537790 | Emily Leos | Nurse Practitioner | 1715 E 95th St, Chicago, IL 60617-4708 | 2020-10-26 |
1063071819 | Abiodun Josephine Atomori | Nurse Practitioner | 1715 E 95th St, Chicago, IL 60617-4708 | 2019-06-06 |
1841777687 | Kathryn Allen | Physician Assistant | 1715 E 95th St, Chicago, IL 60617-4708 | 2018-07-24 |
1205340080 | Erica Minnion-klyce | Nurse Practitioner | 1715 E 95th St, Chicago, IL 60617-4708 | 2017-12-01 |
1114463049 | Dymond Long | Nurse Practitioner | 1715 E 95th St, Chicago, IL 60617 | 2017-01-17 |
1063897155 | Nnebuife Nkem Johnson | Nurse Practitioner | 1715 E 95th St, Chicago, IL 60617-4708 | 2015-07-30 |
1770977662 | Kevin Stephens Jr. | Family Medicine | 1715 E 95th St, Chicago, IL 60617-4708 | 2015-03-27 |
1588076699 | D2 Dental At Oak Street, P.C. | Dentist | 1715 E 95th St, Chicago, IL 60617-4708 | 2014-05-22 |
1508120783 | Michelle Morrison | Family Medicine | 1715 E 95th St, Chicago, IL 60617-4708 | 2012-07-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
Find all providers in zip 60617 |
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 |
---|---|---|---|---|
1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
1881295186 | Belva Marie Dibert | Social Worker | 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 | 2020-11-03 |
1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
1164022422 | Brittany Lauren Gatchell | Social Worker | 7448 N Damen Ave Apt 3n, Chicago, IL 60645-2258 | 2020-10-27 |
1467052803 | Seri Elaine Porter | Social Worker | 4258 N Greenview Ave Apt 2d, Chicago, IL 60613-1173 | 2020-10-26 |
1255930707 | Emily Ehrens | Social Worker | 303 W Institute Pl Ste 300, Chicago, IL 60610-3080 | 2020-10-25 |
1316546955 | Yesenia Maldonado | Social Worker | 3922 N Sayre Ave, Chicago, IL 60634-2329 | 2020-10-24 |
1144829201 | Andrea Hohf, Mscd, Lcsw | Social Worker | 564 W Randolph St Ste 248, Chicago, IL 60661-2218 | 2020-10-20 |
1215536693 | Miracleworks Therapy & Consulting LLC | Social Worker | 2138 S Indiana Ave, Chicago, IL 60616-4930 | 2020-10-18 |
1104425552 | Fifth Star Collective, LLC | Social Worker | 2711 N Lawndale Ave Unit 2, Chicago, IL 60647-1127 | 2020-10-17 |
Find all providers in CHICAGO |
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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.