Active NPI
Cassidy Reves-Sohn
- School Social Worker
- Chicago, IL
National Provider Identifier
1124758156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 2474563
- Practice address
- 3003 W Touhy Ave
Chicago, IL 60645-2833 - Phone
- (773) 340-1490
- NPI assigned
- Jun 13, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 2474563 | IL | Primary |
Addresses
Primary practice location
3003 W Touhy Ave
Chicago, IL 60645-2833
Mailing address
3701 W Lunt Ave
Lincolnwood, IL 60712-2615
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2474563 | IL | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1124758156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 W LUNT AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607122615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 W TOUHY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606452833",
"telephone_number": "773-340-1490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVES-SOHN",
"first_name": "CASSIDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "IL",
"license": "2474563",
"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 Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.