Active NPI
Norman Brown, SOCIAL WORKER
- Clinical Social Worker
- Oak Forest, IL
National Provider Identifier
1235528910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.007718
- Practice address
- 14910 Lavergne Ave
Oak Forest, IL 60452-1422 - Phone
- (708) 518-5505
- NPI assigned
- Jan 18, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.007718 | IL | Primary |
Addresses
Primary practice location
14910 Lavergne Ave
Oak Forest, IL 60452-1422
Mailing address
14910 Lavergne Ave
Oak Forest, IL 60452-1422
Phone (708) 518-5505
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 |
|---|---|---|---|
| 149.007718 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421539200000",
"number": "1235528910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14910 LAVERGNE AVE",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604521422",
"telephone_number": "708-518-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14910 LAVERGNE AVE",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604521422",
"telephone_number": "708-518-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "NORMAN",
"credential": "SOCIAL WORKER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-18",
"last_updated": "2015-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.007718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.