Individual provider Active NPI

Regan Murphy, MA, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1003214289
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.018815 Issued in IL
Practice address
4753 N Broadway St Ste 900
Chicago, IL 60640-7908
Phone
(847) 979-0041
NPI assigned
Dec 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.018815 IL Primary

Addresses

Primary practice location

4753 N Broadway St Ste 900
Chicago, IL 60640-7908

Mailing address

1041 N Winchester Ave
Apt. 2
Chicago, IL 60622-3766
Phone (773) 294-2136

Other practice location 1

1800 Ravinia Pl
Orland Park, IL 60462-3761
Phone (708) 493-7570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 27, 2024 through Aug 27, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
149.018815ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
RMM Therapy PLLC Clinical Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1003214289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 N WINCHESTER AVE",
            "address_2": "APT. 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223766",
            "telephone_number": "773-294-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 N BROADWAY ST STE 900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407908",
            "telephone_number": "847-979-0041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Ravinia Pl",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604623761",
            "country_code": "US",
            "telephone_number": "708-493-7570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "REGAN",
        "name_prefix": "Ms.",
        "credential": "MA, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-19",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.