Individual provider Active NPI

Julia O'Connor Wright, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1053798926
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149015782 Issued in IL
Practice address
800 W Buena Ave
Chicago, IL 60613-6230
Phone
(773) 665-8052
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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 149015782 IL Primary

Addresses

Primary practice location

800 W Buena Ave
Chicago, IL 60613-6230

Mailing address

3510 N Springfield Ave
Apt 1N
Chicago, IL 60618-5050
Phone (773) 829-2262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160818001373 IL Practitioner - Clinical Social Worker 7810282654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Smart Love Parenting CenterGroup PAC ID 8729261011, 11 clinicians

Practice addresses (Care Compare)

1010 Lake St
Oak Park, IL 60301-1135
Phone (773) 665-8052

2222 N Kedzie Blvd
Chicago, IL 60647-2504
Phone (773) 665-8052

800 W Buena Ave
Chicago, IL 60613-6230
Phone (773) 665-8052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149015782ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Love Parenting Center CurrentSince Jul 13, 2016 Accepting new patients

Locations

800 W Buena Ave
Chicago, IL 60613
Phone (773) 327-6000

2222 N Kedzie Blvd
Chicago, IL 60647
Phone 7736658052 ext. 4

1010 Lake St
Ste 500
Oak Park, IL 60301
Phone (708) 524-8600

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1053798926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 N SPRINGFIELD AVE",
            "address_2": "APT 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185050",
            "telephone_number": "773-829-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W BUENA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606136230",
            "telephone_number": "773-665-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JULIA",
        "middle_name": "O'CONNOR",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.