Organization Active NPI

Joanne Underwood, LCSW, PLLC

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1114780335
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOANNE UNDERWOOD, LCSW, PLLC
Practice address
2310 Asbury Ave
Evanston, IL 60201-2603
Phone
(773) 318-5872
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Joanne Underwood
Title
LCSW
Phone
(773) 318-5872

Specialties & licenses 1

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

Addresses

Primary practice location

2310 Asbury Ave
Evanston, IL 60201-2603

Mailing address

2310 Asbury Ave
Evanston, IL 60201-2603

Other names 1

  • Joanne Underwood Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1114780335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 ASBURY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 ASBURY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012603",
            "telephone_number": "773-318-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE UNDERWOOD, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "773-318-5872"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joanne Underwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.