Organization Active NPI

Michelle L Siegman LCSW LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1275914947
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.013271 Issued in IL
Legal business name
MICHELLE L SIEGMAN LCSW LLC
Practice address
218 N Jefferson St
Ste 203
Chicago, IL 60661-1121
Phone
(312) 259-5844
NPI assigned
Jun 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Ms. Michelle Lynne Siegman, LCSWNPI 1629208194
Title
Licensed Clinical Therapist
Phone
(312) 259-5844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.013271 IL Primary

Addresses

Primary practice location

218 N Jefferson St
Ste 203
Chicago, IL 60661-1121

Mailing address

330 N Clinton St
Unit 508
Chicago, IL 60661-1126
Phone (312) 259-5844

Other identifiers 1

IdentifierTypeStateIssuer
1629208194OtherILBCBS

National Provider Directory

National Provider Directory

Locations

218 N Jefferson St
Ste 203
Chicago, IL 60661
Phone (312) 259-5844

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1275914947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N CLINTON ST",
            "address_2": "UNIT 508",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611126",
            "telephone_number": "312-259-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N JEFFERSON ST",
            "address_2": "STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611121",
            "telephone_number": "312-259-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE L SIEGMAN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "SIEGMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "LICENSED CLINICAL THERAPIST",
        "authorized_official_telephone_number": "312-259-5844",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1629208194",
            "state": "IL"
        }
    ],
    "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 Jun 17, 2015; 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.