Active NPI
Sofia Juliett Galan
- Social Worker
- Chicago, IL
National Provider Identifier
1053175810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.111943
- Practice address
- 219 W Chicago Ave Ste 200
Chicago, IL 60654-5600 - Phone
- (832) 761-3176
- NPI assigned
- Feb 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.111943 | IL | Primary |
Addresses
Primary practice location
219 W Chicago Ave Ste 200
Chicago, IL 60654-5600
Mailing address
2126 Maple Ave
Berwyn, IL 60402-1552
Phone (773) 786-8310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.111943 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1053175810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2126 MAPLE AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604021552",
"telephone_number": "773-786-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 W CHICAGO AVE STE 200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606545600",
"telephone_number": "832-761-3176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALAN",
"first_name": "SOFIA",
"middle_name": "JULIETT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-12",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.111943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.