Active NPI
Imelda Gloria Ferreira, LCWS
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1003037680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 4150 W. 55TH Street
Chicago, IL 60632 - Phone
- (312) 745-1566
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | IL | Primary |
Addresses
Primary practice location
4150 W. 55TH Street
Chicago, IL 60632
Mailing address
8358 S. Burley Ave
Chicago, IL 60617
Phone (773) 425-7396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003037680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8358 S. BURLEY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60617",
"telephone_number": "773-425-7396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 W. 55TH STREET",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60632",
"telephone_number": "312-745-1566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERREIRA",
"first_name": "IMELDA",
"middle_name": "GLORIA",
"name_prefix": "Mrs.",
"credential": "LCWS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.