KRISTINA BYRD


Address: 1715 E 95th St, Chicago, IL 60617-4708
Phone: 7737684437

KRISTINA BYRD (NPI# 1790297562) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
149019505 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL STATE LICENSE NUMBER 149019505 01

Other Providers KRISTINA BYRD

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

Office Location

Street Address 1715 E 95TH ST
City CHICAGO
State IL
Zip Code 60617-4708

Providers in the same location

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
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Providers in the same zip code

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
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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]

Providers in the same taxonomy and city

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
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Competitor

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City CHICAGO
Zip Code 60617

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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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