Joanna Vergoth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.008568 Issued in IL

Practice address

4753 N Broadway St
Suite 509
Chicago, IL 60640-5266

Phone

(917) 796-8213

NPI assigned

Nov 18, 2014

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

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1225434236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N LAKE SHORE DR",
            "address_2": "APT 18F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574810",
            "telephone_number": "917-796-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4753 N BROADWAY ST",
            "address_2": "SUITE 509",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405266",
            "telephone_number": "917-796-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGOTH",
        "first_name": "JOANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.008568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley M Vergel
• Dhiran Verghese, MD
• George R Verghese, MD
• Priya Verghese, MD
• Emily Vergo, SLP-CCC
• Cassandra Verhaegen, LSW
• Leonard Verhagen Metman, MD
• Okker Bastiaan Verhagen Metman, DO
• Rolf Hein Verhagen Metman, MD
• Regina Verhelst, LPC

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Nov 18, 2014; 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.