Mary Kathy Ham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149002503 Issued in IL

Practice address

3033 W Touhy Ave
Chicago, IL 60645-2833

Phone

(773) 761-4550

NPI assigned

Mar 5, 2007

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

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1013046929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452833",
            "telephone_number": "773-761-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452833",
            "telephone_number": "773-761-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "MARY",
        "middle_name": "KATHY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149002503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Halvorsen, RN
• Peyton Leigh Halvorsen, PA-C
• Sarah Halvorson
• Carlos Halwaji, D.C.
• James Ham, PA-C
• Ayman F Hamad, APRN
• Miriam G Hamada-Pena
• Omar Inaam Hamadi, MD
• James Takashi Hamamoto, RPH
• Gerishma Kunwar Haman, APN

• 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 Mar 19, 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.