Akiko Michelle Nakamura, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.019519 Issued in IL

Practice address

315 Nordica Ave
Glenview, IL 60025-5017

Phone

(510) 734-7894

NPI assigned

Jul 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akiko.nakamura@charliehealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• CH MH Services Ma, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Peabody, MA
  • NPI 1083593024
  Medicare reassignment NPD
• CH MH Services (Ma), LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Peabody, MA
  • NPI 1639817828
  NPD
• CH MH Services (Wa), LLC

  dba Charlie Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1023611381
  NPD (past)
• Charlie Health

  • Adolescent and Children Mental Health Clinic/Center
  • Bozeman, MT
  • NPI 1427672773
  NPD (past)
• Em Medical Ny, P.C.

  dba CH NY Medical

  • Psychiatry Physician
  • Levittown, NY
  • NPI 1962125799
  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1255064309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E MAIN ST STE 401",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155045",
            "telephone_number": "866-365-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NORDICA AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600255017",
            "telephone_number": "510-734-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "AKIKO",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Akiko.Nakamura@CharlieHealth.com",
            "affiliation": "Y",
            "affiliationName": "Charlie Health",
            "address_1": "13 S Willson Ave Ste 9",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597154610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Muzik, PA
• Myeyedr Optometry of Illinois, LLC (MyEyeDr.)
• Kristine M Myren, ATC
• Jessica Peters Myszak, PH.D.
• Waad Nader
• Tracy H Nakashima, OT
• Jane M Nani, M.D.
• Elvis Allen Nathan
• Nathaniel Hope LCSW, LLC
• Jory A. Natkin, D.O.

• Clinical Social Worker in Glenview, IL
• Providers in Glenview, 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 Jul 6, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.