Active NPI
Thomas Herman, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1225424260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-019294
- Practice address
- 5412 N Clark St Ste 226
Chicago, IL 60640-1223 - Phone
- (773) 517-5505
- NPI assigned
- Apr 7, 2015
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150015570 | IL | |
| Clinical Social Worker | 1041C0700X | 149-019294 | IL | Primary |
Addresses
Primary practice location
5412 N Clark St Ste 226
Chicago, IL 60640-1223
Mailing address
4541 N Hamilton Apt. 3E
Chicago, IL 60625
Phone (773) 517-5505
Other practice location 1
4541 N Hamilton Ave Apt 3E
Chicago, IL 60625-1642
Phone (773) 517-5505
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150015570 | IL | MD | Social Worker |
| 149-019294 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1225424260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4541 N HAMILTON APT. 3E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60625",
"telephone_number": "773-517-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5412 N CLARK ST STE 226",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606401223",
"telephone_number": "773-517-5505"
}
],
"practiceLocations": [
{
"address_1": "4541 N Hamilton Ave Apt 3E",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606251642",
"country_code": "US",
"telephone_number": "773-517-5505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERMAN",
"first_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150015570",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-019294",
"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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.