Active NPI
Deborah Spertus
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1235858564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 150111240
- Practice address
- 1731 N Marcey St Ste 510
Chicago, IL 60614-7955 - Phone
- (312) 618-4867
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 150111240 | IL | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
1731 N Marcey St Ste 510
Chicago, IL 60614-7955
Mailing address
5514 N Glenwood Ave Apt 2
Chicago, IL 60640-0645
Phone (847) 477-1853
Other practice location 1
2755 N Pine Grove Ave
Chicago, IL 60614-6109
Phone (312) 259-2665
Other practice location 2
840 W Irving Park Rd Ste 302
Chicago, IL 60613-3011
Phone (773) 659-9207
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 |
|---|---|---|---|
| 150111240 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal F. Clair, Inc. | Past | 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.
-
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- NPI 1659775484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1235858564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5514 N GLENWOOD AVE APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606400645",
"telephone_number": "847-477-1853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 N MARCEY ST STE 510",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606147955",
"telephone_number": "312-618-4867"
}
],
"practiceLocations": [
{
"address_1": "2755 N Pine Grove Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606146109",
"country_code": "US",
"telephone_number": "312-259-2665",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "840 W Irving Park Rd Ste 302",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606133011",
"country_code": "US",
"telephone_number": "773-659-9207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPERTUS",
"first_name": "DEBORAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "150111240",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.