Active NPI
Gemma Hamm
- Social Worker
- Chicago, IL
National Provider Identifier
1104475847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 304 N Loomis St
Chicago, IL 60607-1147 - Phone
- (312) 243-8487
- NPI assigned
- Sep 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
304 N Loomis St
Chicago, IL 60607-1147
Mailing address
304 N Loomis St
Chicago, IL 60607-1147
Phone (312) 243-8487
Other practice location 1
17320 W 12 Mile Rd
Southfield, MI 48076-2100
Phone (714) 875-9928
Other practice location 2
2400 E Katella Ave Ste 800
Anaheim, CA 92806-5955
Phone (714) 858-3590
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Bird Day LLC | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1588030621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1104475847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 N LOOMIS ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071147",
"telephone_number": "312-243-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 N LOOMIS ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071147",
"telephone_number": "312-243-8487"
}
],
"practiceLocations": [
{
"address_1": "17320 W 12 Mile Rd",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480762100",
"country_code": "US",
"telephone_number": "714-875-9928",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 E Katella Ave Ste 800",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928065955",
"country_code": "US",
"telephone_number": "714-858-3590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMM",
"first_name": "GEMMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.