MRS. KATHRYN KELLY CARROLL LCSW
NPI 1992999114
Social Worker - Clinical in Chicago, IL

Active since August 30, 2007
1645 W JACKSON BLVD, STE 302, CHICAGO, IL 60612(608) 438-8865 Get Directions Write a Review

NPPES record last updated: June 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2017, Feb 3, 2017, Jan 28, 2017 (3 updates tracked since 2017).

About Mrs. Kathryn Kelly Carroll Lcsw NPPES

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

MRS. KATHRYN KELLY CARROLL LCSW (NPI 1992999114) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.016164) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1992999114
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KATHRYN KELLY CARROLLCredential: LCSW
Location Address1645 W JACKSON BLVD, STE 302Chicago, IL 60612-3276
Mailing Address1645 W Jackson Blvd, Ste 302Chicago, IL 60612-1336 · (312) 563-4630
Sole ProprietorYes
Enumeration DateAugust 30, 2007
Last NPPES UpdateJune 6, 20173 updates tracked since enumeration
NPI 1992999114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149.016164
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.
1645 W JACKSON BLVD, Chicago, IL 60612

Other Names 1

Former Name (1)Miss Kathryn Kelly Bulla Lcsw

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.

Pediatrics
1645 W JACKSON BLVD, STE 200
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD
CHICAGO, IL 60612
Social Worker (Clinical)
1645 W JACKSON BLVD, SUITE 302
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD, SUITE 200
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD, SUITE 215
CHICAGO, IL 60612
Pediatrics
1645 W JACKSON BLVD
CHICAGO, IL 60612
Psychiatry & Neurology (Psychiatry)
1645 W JACKSON BLVD, SUITE 600
CHICAGO, IL 60612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Carroll's NPI number?

The NPI number for Kathryn Carroll is 1992999114. It was assigned to this individual provider in the NPPES registry on August 30, 2007. The provider is also known as Miss Kathryn Kelly Bulla Lcsw.

Where is Kathryn Carroll located?

Kathryn Carroll practices at 1645 W Jackson Blvd Ste 302, Chicago, IL 60612. The listed phone number is (608) 438-8865.

What is Kathryn Carroll's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathryn Carroll was last updated on June 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.