Healthcare Provider Details

I. General information

NPI: 1790343218
Provider Name (Legal Business Name): MEGAN N. HUTCHINSON KRINGS LCSW, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 05/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24402 W LOCKPORT ST STE 223
PLAINFIELD IL
60544-4267
US

IV. Provider business mailing address

401 W HAVEN AVE
NEW LENOX IL
60451-1613
US

V. Phone/Fax

Practice location:
  • Phone: 630-621-5824
  • Fax:
Mailing address:
  • Phone: 847-877-8742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.021307
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number35262
License Number StateIL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier36562
Identifier TypeOTHER
Identifier StateIL
Identifier IssuerCADC
# 2
Identifier886748277
Identifier TypeOTHER
Identifier State
Identifier IssuerNATIONAL ASSOCIATION OF SOCIAL WORKERS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: