Provider Demographics
NPI:1689387730
Name:LAMPKINS, KE'ANA A (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:KE'ANA
Middle Name:A
Last Name:LAMPKINS
Suffix:
Gender:F
Credentials:MSW, LSW
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:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.105985104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker