Alwin Sunny Abraham
Individual provider Active NPI Clinical Social Worker · Woodridge, IL
NPI 1063925501 · NPPES record last updated May 16, 2019
Key facts
- NPI
- 1063925501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149.020226 (IL)
- Practice address
- 8235 Mourning Dove CT
Woodridge, IL 60517-6051 - Phone
- (630) 914-0409
- NPI assigned
- Nov 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.101618 | IL | MD | Social Worker |
| 149.020226 | IL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.101618 | IL | |
| Clinical Social Worker | 1041C0700X | 149.020226 | IL | Yes |
Addresses
Primary practice location
8235 Mourning Dove CT
Woodridge, IL 60517-6051
Mailing address
8235 Mourning Dove CT
Woodridge, IL 60517-4508
Phone (610) 914-0409
Other practice location 1
1900 E Main St
Danville, IL 61832-5100
Phone (217) 918-7426
Other names
- Alwin S Abraham
Other providers in Woodridge, IL
- ABA of Wisconsin, LLC
- Maab Nabil Abdelhamid
- Najeeb M Abufarha
- Jasmin Acevedo
- Anne Adrian
- Advance Life Management, LLC
- Advanced Audiology Consultants, LLC
All providers in Woodridge, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.