Individual provider Active NPI

Alexandra Denis, LCSW, PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1184209256
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022981 Issued in IL
Practice address
107 W Van Buren St Ste 205
Chicago, IL 60605-1054
Phone
(708) 996-0296
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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 149.022981 IL Primary

Addresses

Primary practice location

107 W Van Buren St Ste 205
Chicago, IL 60605-1054

Mailing address

910 N Humphrey Ave
Oak Park, IL 60302-1418
Phone (708) 996-0296

Other practice location 1

910 N Humphrey Ave
Oak Park, IL 60302-1418
Phone (708) 996-0296

Other practice location 2

4800 N Milwaukee Ave Ste 202
Chicago, IL 60630-2156
Phone (708) 996-0296

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
149.022981ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandra Denis LCSW PLLC Clinical CurrentSince Jun 21, 2022 Accepting new patients
Accepting LLC PastSince Mar 16, 2021 Accepting new patients

Organizations & group practices 2

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": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1184209256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N HUMPHREY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021418",
            "telephone_number": "708-996-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W VAN BUREN ST STE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051054",
            "telephone_number": "708-996-0296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 N Humphrey Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603021418",
            "country_code": "US",
            "telephone_number": "708-996-0296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 N Milwaukee Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606302156",
            "country_code": "US",
            "telephone_number": "708-996-0296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENIS",
        "first_name": "ALEXANDRA",
        "credential": "LCSW, PLLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022981",
            "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 13, 2022; 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.