Stephanie Ardagh LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

STEPHANIE ARDAGH LLC

Practice address

1020 N. Milwaukee Ave
Suite 242
Deerfield, IL 60015

Phone

(224) 475-3990

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Stephanie Ardagh, LCSWNPI 1992166045

Title

Licensed Clinical Social Worker

Phone

(847) 331-2145

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Ardagh, LSCW

  • Clinical Social Worker
  • Deerfield, IL
  • NPI 1992166045
  NPD (past) Authorized official

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1245693027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 PAULINE CIR",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N. MILWAUKEE AVE",
            "address_2": "SUITE 242",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "60015",
            "telephone_number": "224-475-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE ARDAGH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "ARDAGH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "847-331-2145",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacandian Spencer, P.D.
• Standup MRI of Deerfield LLC
• John J Stavrakos, M.D.
• Kaela Steele
• Barry Noah Stein, D.D.S.
• Stephen R Morse MD SC
• Sarah Diamond Steuerman, M.D.
• Tracy C Stimpson, O.D.
• Melinda Eskin Strauss, LCSW
• Stride Autism Centers Management, LLC

• Clinical Social Worker in Deerfield, IL
• Providers in Deerfield, 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 Mar 30, 2016; 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.