Active NPI
Danny Michael, MSW, LSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1245951342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.027419
- Practice address
- 1541 W Devon Ave
Chicago, IL 60660-1313 - Phone
- (773) 250-5222
- Fax
- (773) 866-8018
- NPI assigned
- Sep 7, 2022
- Last updated
- Sep 27, 2024
- 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 | 149.027419 | IL | Primary |
Addresses
Primary practice location
1541 W Devon Ave
Chicago, IL 60660-1313
Mailing address
PO Box 746721
Atlanta, GA 30374-6721
Phone (773) 352-1515
Other practice location 1
5115 N Ravenswood Ave Fl 2
Chicago, IL 60640-2712
Phone (773) 877-8852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.027419 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1245951342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746721",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746721",
"telephone_number": "773-352-1515",
"fax_number": "312-929-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 W DEVON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606601313",
"telephone_number": "773-250-5222",
"fax_number": "773-866-8018"
}
],
"practiceLocations": [
{
"address_1": "5115 N Ravenswood Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606402712",
"country_code": "US",
"telephone_number": "773-877-8852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICHAEL",
"first_name": "DANNY",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-07",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.027419",
"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 Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.