Viviane Ngwa, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149007250 Issued in IL

Practice address

4747 Lincoln Mall Dr Ste 101
Matteson, IL 60443-3812

Phone

(708) 747-2655

Fax

(708) 747-2859

NPI assigned

Jun 7, 2019

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

Practice roles

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.

• National Youth Advocate Program, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1073091856
  NPD (past)
• National Youth Advocate Program, Inc

  • Community/Behavioral Health Agency
  • Matteson, IL
  • NPI 1417262924
  NPD (past)

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1215596887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 LINCOLN MALL DR STE 101",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433812",
            "telephone_number": "312-758-2157",
            "fax_number": "708-747-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 LINCOLN MALL DR STE 101",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433812",
            "telephone_number": "708-747-2655",
            "fax_number": "708-747-2859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1902 W Cermak Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606084204",
            "country_code": "US",
            "telephone_number": "773-569-9045",
            "fax_number": "773-360-8379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGWA",
        "first_name": "VIVIANE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Youth Advocate Program, Inc
• Natural Resemblance
• Rebecca Nestor
• Neurotechtonics Inc NFP
• New Direction Advocacy and Therapeutic Consultant, NFP
• Rita Jane Nolting, L.C.S.W.
• Omari Norman
• Hannah Norris
• Benita Yvette Norwoord
• Nurses on Wheels Home Services

• Clinical Social Worker in Matteson, IL
• Providers in Matteson, 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 Jun 7, 2019; 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.