Organization Active NPI

Julia C Fording, LCSW, LLC

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1073081709
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JULIA C FORDING, LCSW, LLC
Practice address
601 Skokie Blvd Ste 207
Northbrook, IL 60062-2818
Phone
(312) 767-7431
NPI assigned
Nov 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Authorized official

Name
Julia Fording, LCSW
Title
Owner
Phone
(312) 767-7431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

601 Skokie Blvd Ste 207
Northbrook, IL 60062-2818

Mailing address

PO Box 613
Channahon, IL 60410-0613
Phone (815) 521-1889

National Provider Directory

National Provider Directory

Locations

601 Skokie Blvd
Ste 207
Northbrook, IL 60062
Phone (224) 208-5198

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1073081709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 613",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604100613",
            "telephone_number": "815-521-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SKOKIE BLVD STE 207",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622818",
            "telephone_number": "312-767-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA C FORDING, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "FORDING",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-767-7431",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.