Provider Demographics
NPI:1689387730
Name:LAMPKINS, KE'ANA A (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:KE'ANA
Middle Name:A
Last Name:LAMPKINS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:KE'ANA
Other - Middle Name:A
Other - Last Name:TROUTMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:927 HAMLIN AVE
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-1040
Mailing Address - Country:US
Mailing Address - Phone:773-403-0234
Mailing Address - Fax:
Practice Address - Street 1:1300 W BELMONT AVE STE 514
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-3200
Practice Address - Country:US
Practice Address - Phone:708-628-7579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-04
Last Update Date:2024-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.1059851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical