Mikayla Marie Clary, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150107781 Issued in IL

Practice address

311 W Superior St Ste 402
Chicago, IL 60654-3537

Phone

(312) 584-2144

Fax

(312) 971-8554

NPI assigned

Jan 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Light on Anxiety, P.C.

  • Cognitive & Behavioral Psychologist
  • Chicago, IL
  • NPI 1619308087

  Social Worker

  NPD

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1124779798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 W BELMONT AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572166",
            "telephone_number": "312-508-3645",
            "fax_number": "312-971-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W SUPERIOR ST STE 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543537",
            "telephone_number": "312-584-2144",
            "fax_number": "312-971-8554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1438 W Belmont Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606572166",
            "country_code": "US",
            "telephone_number": "312-508-3645",
            "fax_number": "312-971-8554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARY",
        "first_name": "MIKAYLA",
        "middle_name": "MARIE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150107781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel E Clarke, MSW, LSW
• Jessica Tatiana Claro
• Ana Gabriela Claros Ospina, MD
• Tyrisha Clary-Selli, M.D.
• Ashton Clary
• Classic Smiles LLC
• David Claud
• Robert Daniel Claud III, M.D.
• Claude E. Merrin MD PC
• Claudia G. Gidea, LTD

• Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.