Individual provider Active NPI

Daniel Zhiss, LSW

  • Social Worker
  • Rolling Meadows, IL
National Provider Identifier
1174054290
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150014880 Issued in IL
Practice address
2880 Southampton Dr
Apt 301
Rolling Meadows, IL 60008-4318
Phone
(630) 247-7175
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150014880 IL Primary

Addresses

Primary practice location

2880 Southampton Dr
Apt 301
Rolling Meadows, IL 60008-4318

Mailing address

2880 Southampton Dr
Apt 301
Rolling Meadows, IL 60008-4318
Phone (630) 247-7175

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
150014880ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1174054290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 SOUTHAMPTON DR",
            "address_2": "APT 301",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084318",
            "telephone_number": "630-247-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 SOUTHAMPTON DR",
            "address_2": "APT 301",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084318",
            "telephone_number": "630-247-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHISS",
        "first_name": "DANIEL",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150014880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.