Michael Vernon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149009584 Issued in IL

Practice address

1954 W Irving Park Rd
Chicago, IL 60613-2408

Phone

(773) 414-4577

Fax

(773) 313-3533

NPI assigned

Sep 1, 2006

Last updated

Nov 15, 2016By the provider in NPPES

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael Vernon, LCSW LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1922252931
  NPD (past) Authorized official
• Psychotherapy Associates of Chicago

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1568518520
  NPD (past) Authorized official
• Jonathan Levy LCSW LTD

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1679628788
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1063514016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132408",
            "telephone_number": "773-414-4577",
            "fax_number": "773-313-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132408",
            "telephone_number": "773-414-4577",
            "fax_number": "773-313-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verne H. Noparstak, Inc.
• Jane Vernik, M.D.
• Andrea Vernon-Cwik, LCSW
• Eboni Nikia Vernon
• Laura Engel Vernon, MD
• Oacy Veronesi, OTR/L
• Veronica Mack
• Marion S. Verp, M.D.
• Michael Verre
• Lauren Verrilli

• 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 Nov 15, 2016; 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.