Maria Duda, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149020747 Issued in IL

Practice address

5215 N California Ave Ste F101
Chicago, IL 60625-0035

Phone

(773) 561-5809

Fax

(773) 561-5946

NPI assigned

May 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1063901908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4759 N MAPLEWOOD AVE APT 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257013",
            "telephone_number": "708-263-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N CALIFORNIA AVE STE F101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606250035",
            "telephone_number": "773-561-5809",
            "fax_number": "773-561-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDA",
        "first_name": "MARIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150015534",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Howard Duchon, DPM
• Sarah Ann Wayles Duck
• Melissa Duckett, DNP, APRN, AG-ACNP-B
• Hannah Duckworth, PA-C
• Jane Elizabeth Duda, APN,CRNA
• Michelle Duda, MS, LCPC, CADC
• Rajesh Dudani, MD
• Katherine Dudas-Szewczyk, DMD
• Bohdan George Dudas, M.D.
• Cheryl Dudeck

• 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 Jan 9, 2019; 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.