Active NPI
Monica Umlauf, MSW,LCSW
- Clinical Social Worker
- Berwyn, IL
National Provider Identifier
1144201443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-011213
- Practice address
- 3245 Grove Ave
Ste 107
Berwyn, IL 60402-3475 - Phone
- (630) 730-3564
- NPI assigned
- Nov 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149-011213 | IL | Primary |
Addresses
Primary practice location
3245 Grove Ave
Ste 107
Berwyn, IL 60402-3475
Mailing address
3245 Grove Ave
Ste 107
Berwyn, IL 60402-3475
Other practice location 1
1 e Delaware
suite 310
Chicago, IL 60610
Phone (630) 730-3564
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-011213 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1144201443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 GROVE AVE",
"address_2": "STE 107",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3245 GROVE AVE",
"address_2": "STE 107",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023475",
"telephone_number": "630-730-3564"
}
],
"practiceLocations": [
{
"address_1": "1 e Delaware",
"address_2": "suite 310",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60610",
"country_code": "US",
"telephone_number": "630-730-3564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UMLAUF",
"first_name": "MONICA",
"name_prefix": "Ms.",
"credential": "MSW,LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-011213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.