Organization Active NPI

Corri Ferdman LCSW LLC

  • Clinical Social Worker
  • Lake Bluff, IL
National Provider Identifier
1295809986
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CORRI FERDMAN LCSW LLC
Practice address
900 North Shore Dr
200
Lake Bluff, IL 60044-2243
Phone
(847) 793-0788
Fax
(847) 793-0789
NPI assigned
Nov 17, 2006
Last updated
Mar 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Miss Corri J Ferdman, LCSWNPI 1588787279
Title
LCSW
Phone
(847) 793-0788

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

900 North Shore Dr
200
Lake Bluff, IL 60044-2243

Mailing address

120 W Eastman St
301
Arlington Heights, IL 60004-5937
Phone (847) 793-0788

Other identifiers 1

IdentifierTypeStateIssuer
4932415OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

120 W Eastman St
Ste 301
Arlington Heights, IL 60004
Phone (847) 793-0788

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1295809986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W EASTMAN ST",
            "address_2": "301",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045937",
            "telephone_number": "847-793-0788",
            "fax_number": "847-793-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NORTH SHORE DR",
            "address_2": "200",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442243",
            "telephone_number": "847-793-0788",
            "fax_number": "847-793-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRI FERDMAN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "FERDMAN",
        "authorized_official_first_name": "CORRI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "847-793-0788",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4932415",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.