Amalia Golomb-Leavitt LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AMALIA GOLOMB-LEAVITT LCSW LLC

Practice address

1000 W Diversey Pkwy Ste 275
Chicago, IL 60614-1879

Phone

(617) 571-9003

NPI assigned

Jun 22, 2023

Organization subpart

No

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

Authorized official

Name

Amalia Golomb-LeavittNPI 1053083824

Title

LCSW

Phone

(617) 571-9003

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amalia Golomb-Leavitt, A.M., LSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1053083824
  NPD Authorized official

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1033895339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W DIVERSEY PKWY STE 275",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141879",
            "telephone_number": "617-571-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W DIVERSEY PKWY STE 275",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141879",
            "telephone_number": "617-571-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMALIA GOLOMB-LEAVITT LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "GOLOMB-LEAVITT",
        "authorized_official_first_name": "AMALIA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "617-571-9003"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jun 22, 2023; 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.