Jennifer M Vergara, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150013629 Issued in IL

Practice address

4722 Arbor Dr Apt 207
Rolling Meadows, IL 60008-4426

Phone

(312) 388-5394

NPI assigned

Oct 18, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1003169780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S HAGER AVE",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600104168",
            "telephone_number": "847-381-0345",
            "fax_number": "847-381-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 ARBOR DR APT 207",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084426",
            "telephone_number": "312-388-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARA",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150013629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BARRINGTON YOUTH & FAMILY SERVICES",
            "identifier": "362815350",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Urquhart
• Usv Optical Inc.
• Margarita G Valdecantos, MD
• Benjamin Glenn Vancura, M.D.
• Amy Vander Pluym
• Vetecon Mobile Health Solutions Co
• Brianna Lynn Veternik
• Marlon Viloria, PT, APRN-FPA
• W&Q Medical Services LLC
• Katherine Maureen Wagner

• Social Worker in Rolling Meadows, IL
• Providers in Rolling Meadows, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.