MRS. KERRIE DANIELLE FISH LCSW, CADC
NPI 1669730198
Social Worker - Clinical in Waukegan, IL

Q: What is Kerrie Fish's NPI number?

The NPI number for Kerrie Fish is 1669730198. It was assigned to this individual provider in the NPPES registry on May 3, 2012. The provider is also known as Miss Kerrie Danielle Nace Lcsw, Cadc.

Q: What is Kerrie Fish's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kerrie Fish was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 03, 2012PECOS Enrolled

3004 GRAND AVE, WAUKEGAN, IL 60085(847) 377-8120(847) 984-5691 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 20, 2020, Sep 30, 2019 (2 updates tracked since 2019).

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About Mrs. Kerrie Danielle Fish Lcsw, Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KERRIE DANIELLE FISH LCSW, CADC (NPI 1669730198) is an individual clinical provider in Waukegan, Illinois, licensed in Illinois (149.017900) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669730198

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. KERRIE DANIELLE FISHCredential: LCSW, CADC

Location Address3004 GRAND AVEWaukegan, IL 60085-2321

Mailing Address3010 Grand AveWaukegan, IL 60085-2321 · (847) 377-8120 · Fax (847) 984-5691

Phone(847) 377-8120

Fax(847) 984-5691

Sole ProprietorNo

Enumeration DateMay 3, 2012

Last NPPES UpdateFebruary 20, 20202 updates tracked since enumeration

✔ NPI 1669730198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149.017900

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 30977 (IL)

3004 GRAND AVE, Waukegan, IL 60085

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Other Names 1

Former Name (1)Miss Kerrie Danielle Nace Lcsw, Cadc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kerrie Danielle Fish Lcsw, Cadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kerrie Fish reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Lake

Same address

Rehabilitation, Substance Use Disorder

3004 GRAND AVE
Waukegan, IL 60085

Reassigned Medicare billing, Illinois enrollment
151 clinicians in this Medicare group

NPI 1720290091 (847) 377-8273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $59.81 – $181.38

Typical copayment $0.00 (range $14.95 – $45.34)

Most-billed visit code NA

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORMAN G GOLLIDAY CADC

Counselor (Addiction (Substance Use Disorder))