Organization Active NPI

Erin Gustafson Consulting PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1184352544
Registry record updated Aug 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ERIN GUSTAFSON CONSULTING PLLC
Practice address
3547 N Pulaski Rd
Chicago, IL 60641-3945
Phone
(574) 274-9054
NPI assigned
Aug 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2022

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

Authorized official

Name
Erin Gustafson, LCSWNPI 1942591466
Title
Social Worker
Phone
(574) 274-9054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3547 N Pulaski Rd
Chicago, IL 60641-3945

Mailing address

1135 W George St
Chicago, IL 60657-4313
Phone (574) 274-9054

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660435200000",
    "number": "1184352544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W GEORGE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574313",
            "telephone_number": "574-274-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3547 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413945",
            "telephone_number": "574-274-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN GUSTAFSON CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "574-274-9054",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Aug 14, 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.