Active NPI
Judith Nelson, LCSW
- Clinical Social Worker
- Elk Grove Village, IL
National Provider Identifier
1194838649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149006693
- Practice address
- 1001 Rohlwing Rd
Elk Grove Village, IL 60007-3217 - Phone
- (847) 524-8800
- Fax
- (847) 524-8824
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149006693 | IL | Primary |
Addresses
Primary practice location
1001 Rohlwing Rd
Elk Grove Village, IL 60007-3217
Mailing address
1001 Rohlwing Rd
Elk Grove Village, IL 60007-3217
Phone (847) 524-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0041642938 | Other | IL | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149006693 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1194838649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 ROHLWING RD",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073217",
"telephone_number": "847-524-8800",
"fax_number": "847-524-8824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 ROHLWING RD",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073217",
"telephone_number": "847-524-8800",
"fax_number": "847-524-8824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JUDITH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149006693",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0041642938",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.