Stephanie Atkin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.022315 Issued in IL

Practice address

3557 W Peterson Ave Ste 122
Chicago, IL 60659-3218

Phone

(773) 478-6000

NPI assigned

Jun 25, 2020

Last updated

Jun 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Soulu

  dba Upward Community

  • Adolescent and Children Mental Health Clinic/Center
  • Lincolnwood, IL
  • NPI 1538057609
  NPD
• Soulu

  dba Madraigos Midwest

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1689029050
  NPD (past)

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1184240160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 W SHERWIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3557 W PETERSON AVE STE 122",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593218",
            "telephone_number": "773-478-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKIN",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Atiq, M.D.
• Patrick Najah Atisha, MD
• Samir Atiya, MD
• Meredith A Atkenson, DPT, OCS, FAAOMPT
• Danielle Atkin
• Baiyina Atkins
• Bria Danielle Atkins
• Eldasious Atkins
• Helen Atkins
• Marc S. Atkins

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.