Active NPI
Anna N. Valianos, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1164045597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149020146
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 149020146 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arise Therapy, PLLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1548870850
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.