Active NPI
Alissa A Catiis
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1174838577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149014229
- Practice address
- 3948 N Sheridan Rd
Chicago, IL 60613 - Phone
- (773) 388-1600
- Fax
- (773) 388-1602
- NPI assigned
- Aug 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 2338233 | IL | |
| Clinical Social Worker | 1041C0700X | 149014229 | IL | Primary |
Addresses
Primary practice location
3948 N Sheridan Rd
Chicago, IL 60613
Mailing address
4025 N Sheridan Rd
Chicago, IL 60613-2010
Phone (773) 388-1600
Other practice location 1
1945 W Wilson Ave
5th floor
Chicago, IL 60640-5255
Phone (312) 432-4573
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 |
|---|---|---|---|
| 149014229 | IL | MD | Clinical Social Worker |
| 2338233 | IL | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard Brown Health Center | Past | Accepting new patients | |
| Howard Brown Health Center | Past | Accepting new patients | |
| Howard Brown Health Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1205344603
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1306048632
-
- Health Educator
- Chicago, IL
- NPI 1811824121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1174838577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 N SHERIDAN RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132010",
"telephone_number": "773-388-1600",
"fax_number": "773-388-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3948 N SHERIDAN RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60613",
"telephone_number": "773-388-1600",
"fax_number": "773-388-1602"
}
],
"practiceLocations": [
{
"address_1": "1945 W Wilson Ave",
"address_2": "5th floor",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606405255",
"country_code": "US",
"telephone_number": "312-432-4573",
"fax_number": "312-491-2406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CATIIS",
"first_name": "ALISSA",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "IL",
"license": "2338233",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149014229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Catholic Charities of the Archdiocese of Chicago
- Catholic Charities of the Archdiocese of Chicago
- Catholic Charities of the Archdiocese of Chicago
- Catholic Charities of the Archdiocese of Chicago
- Catholic Charities of the Archdiocese of Chicago
- Francesca A Catinella, LCPC, NCC
- Doris Catizzone
- Kimberly Catledge, PHARMD
- Elizabeth Catlin, PT, DPT
- Tracy Catlin, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.