Active NPI
Irma Sharp
- Clinical Social Worker
- Grayslake, IL
National Provider Identifier
1265672729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149007946
- Practice address
- 1170 E Belvidere Rd
Grayslake, IL 60030-2061 - Phone
- (847) 548-0492
- Fax
- (847) 548-0537
- NPI assigned
- Feb 24, 2009
- Last updated
- Jul 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 149007946 | IL | Primary |
Addresses
Primary practice location
1170 E Belvidere Rd
Grayslake, IL 60030-2061
Mailing address
1170 E Belvidere Rd
Grayslake, IL 60030-2061
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 |
|---|---|---|---|
| 149007946 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Suburban Counseling, PC | Past | Accepting new patients | |
| Thurston & Associates | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Grayslake, IL
- NPI 1881633857
-
dba North Suburban Counseling
- Professional Counselor
- Grayslake, IL
- NPI 1417264698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1265672729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 E BELVIDERE RD",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600302061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 E BELVIDERE RD",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600302061",
"telephone_number": "847-548-0492",
"fax_number": "847-548-0537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "IRMA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149007946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.