Gina Margaret Canerday

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.024875 Issued in IL

Practice address

701 E 31St St # 1054
La Grange Park, IL 60526-9800

Phone

(708) 378-5401

NPI assigned

Jan 5, 2023

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

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1194438069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1054",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605269154",
            "telephone_number": "708-378-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 31ST ST # 1054",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605269800",
            "telephone_number": "708-378-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANERDAY",
        "first_name": "GINA",
        "middle_name": "MARGARET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juana Adilene Briceno, DENTAL HYGIENIST
• Jon Bruce
• Janet Lee Budnick, MS RDN LDN
• Margaret Burns, LCP
• Michael B Byars Sr.
• Karen Anne Cannon-Janettas
• Colton Cannon
• Kelly Caraher
• Glenn F Carlson Jr., MD
• Sophia Catherine Caruso

• Clinical Social Worker in La Grange Park, IL
• Providers in La Grange Park, 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 Jul 24, 2024; 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.