Active NPI
Abigail A Ehrhardt, LCSW
- Clinical Social Worker
- Geneva, IL
National Provider Identifier
1306034608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149 000937
- Practice address
- 1704 Millbrook CT
Geneva, IL 60134-1838 - Phone
- (630) 232-8076
- NPI assigned
- Oct 11, 2007
- 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 | 149 000937 | IL | Primary |
Addresses
Primary practice location
1704 Millbrook CT
Geneva, IL 60134-1838
Mailing address
1704 Millbrook CT
Geneva, IL 60134-1838
Phone (630) 232-8076
Other names 1
- Mrs. Abigail Abigail Ehrhardt
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 |
|---|---|---|---|
| 149 000937 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1306034608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 MILLBROOK CT",
"city": "GENEVA",
"state": "IL",
"postal_code": "601341838",
"telephone_number": "630-232-8076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 MILLBROOK CT",
"city": "GENEVA",
"state": "IL",
"postal_code": "601341838",
"telephone_number": "630-232-8076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRHARDT",
"first_name": "ABIGAIL",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149 000937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "EHRHARDT",
"middle_name": "ABIGAIL",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.