Active NPI
Yvonne Combs, LSW
- Social Worker
- Chicago, IL
National Provider Identifier
1154990042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1409 W Carroll Ave
Chicago, IL 60607-1105 - Phone
- (312) 733-0883
- NPI assigned
- Jun 23, 2021
- Last updated
- Sep 9, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1409 W Carroll Ave
Chicago, IL 60607-1105
Mailing address
1010 Lake St Ste 500
Oak Park, IL 60301-1135
Phone (773) 665-8052
Other practice location 1
1010 Lake St Ste 500
Oak Park, IL 60301-1135
Phone (773) 665-8052
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyas Landing, Inc. | Social Worker | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1154990042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 LAKE ST STE 500",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011135",
"telephone_number": "773-665-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 W CARROLL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071105",
"telephone_number": "312-733-0883"
}
],
"practiceLocations": [
{
"address_1": "1010 Lake St Ste 500",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603011135",
"country_code": "US",
"telephone_number": "773-665-8052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COMBS",
"first_name": "YVONNE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-23",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"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 Sep 9, 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.