Miriam Charlotte Neugebauer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014142 Issued in IL

Practice address

1288 Rickert Dr
Suite 120
Naperville, IL 60540-0951

Phone

(630) 428-7890

NPI assigned

Aug 19, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1194031716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 RICKERT DR",
            "address_2": "SUITE 120",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400951",
            "telephone_number": "630-428-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 RICKERT DR",
            "address_2": "SUITE 120",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400951",
            "telephone_number": "630-428-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUGEBAUER",
        "first_name": "MIRIAM",
        "middle_name": "CHARLOTTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295914646",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nervelogic, PC
• Samora E Nesbitt, PT, DPT
• Brooke Nett, DC
• Tyricia Nettles, LSW
• Jared Christopher Nettleton, PHARMD, RPH
• Linda Neuharth, OTR/L
• Jacqueline Rene Neumann, CPNP-PC
• JC Neumann
• Neurobehavioral Group PC
• Neurohorizon Professional Corporation

• Clinical Social Worker in Naperville, IL
• Providers in Naperville, 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 Aug 19, 2010; 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.