MS. KRISTINE MAYNARD (LCSW) – Clinical Social Worker, NPI 1215077011

MS. KRISTINE MAYNARD (LCSW) is a healthcare provider. based in La grange, Illinois. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 149008276 (IL). The NPI Number for MS. KRISTINE MAYNARD (LCSW) is 1215077011

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
MS. KRISTINE MAYNARD (LCSW)
NPI
1215077011
Phone
(708) 921-3639
Address
1030 S. LA GRANGE RD
Enumeration Date
8 February 2007
Last Update Date
3 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083615110
Graduation Year
1996 (30 years ago)
PAC ID
0446272363
Group Practice PAC ID
4587898754
Professional Enrollment ID
I20051220000591
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MS. KRISTINE MAYNARD (LCSW)

  • 1030 S. LA GRANGE RD

    STE #9

    LA GRANGE, IL 60525

    Phone: (708) 921-3639

    Fax: (708) 588-1501

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60525)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587898754View full group profile
NameSpecialtyState
DR. BETH LEDVORA (M.D.)
P S Y C H I A T R YIL
LAURA LEDVORA (MD)
P S Y C H I A T R YOH
DR. ZENAIDA L VIVAR (MD)
Psychiatry, Geriatric PsychiatryIL
JESSE L MUNOZ (LCSW)
Clinical Social WorkerIL
DAVID E KEMP (MD)
P S Y C H I A T R YOH
DR. JAMES S RIEDEL (ED.D.)
Clinical PsychologistIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. KRISTINE MAYNARD (LCSW)?
MS. KRISTINE MAYNARD (LCSW) — NPI 1215077011 — is the standard way to identify this listing.
Does CMS list MS. KRISTINE MAYNARD (LCSW) as active?
Yes — MS. KRISTINE MAYNARD (LCSW) is active in the NPI listing used on this page.
What is MS. KRISTINE MAYNARD (LCSW)'s primary classification?
Clinical Social Worker is the headline specialty for MS. KRISTINE MAYNARD (LCSW) here. Clinical services aligned with this taxonomy classification.
What area does MS. KRISTINE MAYNARD (LCSW) serve?
MS. KRISTINE MAYNARD (LCSW)'s listing highlights La Grange, Illinois; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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