Individual provider Active NPI

Erica Stone, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1134510720
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149018531 Issued in IL
Practice address
4054 N Lincoln Ave Ste 2
Chicago, IL 60618-3144
Phone
(847) 284-0529
NPI assigned
Feb 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.014593 IL
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 149018531 IL Primary

Addresses

Primary practice location

4054 N Lincoln Ave Ste 2
Chicago, IL 60618-3144

Mailing address

2640 N Fairfield Ave # 1
Chicago, IL 60647-1826
Phone (847) 284-0529

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

LicenseStateTypeSpecialty
150.014593ILMDSocial Worker
149018531ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Erica Stone Psychotherapy Inc. Clinical CurrentSince Jul 1, 2020 Accepting new patients

Locations

4054 N Lincoln Ave
Ste 2
Chicago, IL 60618
Phone (309) 287-7216

123 W Madison St
Ste 2150
Chicago, IL 60602
Phone (312) 285-0279

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.

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1134510720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 N FAIRFIELD AVE # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471826",
            "telephone_number": "847-284-0529",
            "fax_number": "773-417-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 N LINCOLN AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183144",
            "telephone_number": "847-284-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "ERICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.014593",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018531",
            "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 Aug 18, 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.

Verify at the official NPI Registry.