Active NPI
Gregory Allen Ratliff, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1174943856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.016368
- Practice address
- 1000 W Diversey Pkwy
Suite 275
Chicago, IL 60614-1879 - Phone
- (773) 281-7200
- NPI assigned
- Apr 22, 2014
- Sex
- Male
- 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 | 149.016368 | IL | Primary |
Addresses
Primary practice location
1000 W Diversey Pkwy
Suite 275
Chicago, IL 60614-1879
Mailing address
1000 W Diversey Pkwy
Suite 275
Chicago, IL 60614-1879
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 |
|---|---|---|---|
| 149.016368 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Dondanville LCSW, LLC | Clinical | 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 and National Provider Directory roles.
-
- Clinical Social Worker
- Taos, NM
- NPI 1649834771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401667200000",
"number": "1174943856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W DIVERSEY PKWY",
"address_2": "SUITE 275",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W DIVERSEY PKWY",
"address_2": "SUITE 275",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141879",
"telephone_number": "773-281-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATLIFF",
"first_name": "GREGORY",
"middle_name": "ALLEN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-22",
"last_updated": "2014-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.016368",
"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 Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.