Individual provider Active NPI

Anna N. Valianos, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1164045597
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149020146 Issued in IL
Practice address
1449 N California Ave Apt 1R
Chicago, IL 60622-1653
Phone
(312) 566-8258
Fax
(872) 231-2389
NPI assigned
May 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149020146 IL Primary

Addresses

Primary practice location

1449 N California Ave Apt 1R
Chicago, IL 60622-1653

Mailing address

PO Box 14265
Chicago, IL 60614-8503
Phone (312) 566-8258

Other practice location 1

3748 N Ashland Ave
Chicago, IL 60613-6098
Phone (773) 659-9207

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
149020146ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Therapy, PLLC Clinical CurrentSince Aug 1, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1164045597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14265",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606148503",
            "telephone_number": "312-566-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 N CALIFORNIA AVE APT 1R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221653",
            "telephone_number": "312-566-8258",
            "fax_number": "872-231-2389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3748 N Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606136098",
            "country_code": "US",
            "telephone_number": "773-659-9207",
            "fax_number": "773-275-3880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALIANOS",
        "first_name": "ANNA",
        "middle_name": "N.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020146",
            "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 Nov 16, 2020; 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.