Individual provider Active NPI

Allison Yura, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1205220480
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016155 Issued in IL
Practice address
1821 W Belmont Ave
Chicago, IL 60657-2040
Phone
(312) 883-2435
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.016155 IL Primary

Addresses

Primary practice location

1821 W Belmont Ave
Chicago, IL 60657-2040

Mailing address

1125 Galway CT
Northbrook, IL 60062-4324
Phone (847) 814-7088

Other practice location 1

1255 W Roscoe St
Chicago, IL 60657-1423
Phone (847) 814-7088

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

LicenseStateTypeSpecialty
149.016155ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ay Behavioral Health Services Clinical CurrentSince Nov 29, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1205220480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 GALWAY CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624324",
            "telephone_number": "847-814-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572040",
            "telephone_number": "312-883-2435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 W Roscoe St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606571423",
            "country_code": "US",
            "telephone_number": "847-814-7088",
            "fax_number": "773-296-1831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YURA",
        "first_name": "ALLISON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016155",
            "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 Dec 19, 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.