Miriam Klevan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012508 Issued in IL

Practice address

2141 W Le Moyne St
Chicago, IL 60622-1813

Phone

(312) 515-3964

NPI assigned

Aug 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1003248980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 W LE MOYNE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221813",
            "telephone_number": "312-515-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 W LE MOYNE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221813",
            "telephone_number": "312-515-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEVAN",
        "first_name": "MIRIAM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve James Kleronomos, D.D.S.
• Michaela Ann Klesitz, MD
• Jennifer Klesman-Watring, LCSW
• Kathy Kleszcz, NP-C
• Morris Kletzel, MD
• Anna Grace Klevorn, PA-C
• Rebecca Kliber
• Amy Klichowski, M.D.
• Pamela Ann Klick, CCC-SLP/L
• Elizabeth A Klicker-Nicklay, LCPC

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.