Individual provider Active NPI

Ava Regine Rapp, LSW

  • Social Worker
  • Chicago, IL
National Provider Identifier
1215850839
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150101559 Issued in IL
Practice address
4055 W Peterson Ave Ste 202
Chicago, IL 60646-6183
Phone
(773) 774-4444
Fax
(773) 774-4447
NPI assigned
Jul 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150101559 IL Primary

Addresses

Primary practice location

4055 W Peterson Ave Ste 202
Chicago, IL 60646-6183

Mailing address

6321 N Avondale Ave Ste 204
Chicago, IL 60631-1961
Phone (773) 774-4444

Other practice location 1

4854 W Irving Park Rd
Chicago, IL 60641-2718
Phone (773) 774-4444

Other practice location 2

6321 N Avondale Ave Ste 204
Chicago, IL 60631-1961
Phone (773) 774-4444

Other practice location 3

7227 Madison St
Forest Park, IL 60130-1726
Phone (773) 774-4444

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Wellness, LTD. PastSince May 2, 2018 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": "1785456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1215850839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 N AVONDALE AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311961",
            "telephone_number": "773-774-4444",
            "fax_number": "773-774-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 W PETERSON AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466183",
            "telephone_number": "773-774-4444",
            "fax_number": "773-774-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4854 W Irving Park Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606412718",
            "country_code": "US",
            "telephone_number": "773-774-4444",
            "fax_number": "773-774-4447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6321 N Avondale Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606311961",
            "country_code": "US",
            "telephone_number": "773-774-4444",
            "fax_number": "773-774-4447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7227 Madison St",
            "address_purpose": "LOCATION",
            "city": "Forest Park",
            "state": "IL",
            "postal_code": "601301726",
            "country_code": "US",
            "telephone_number": "773-774-4444",
            "fax_number": "773-774-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPP",
        "first_name": "AVA",
        "middle_name": "REGINE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150101559",
            "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 Jul 31, 2026; 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.