Individual provider Active NPI

Amy M Carl, LCSW

  • Social Worker
  • Chicago, IL
National Provider Identifier
1306159710
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
149.006220 Issued in IL
Practice address
3003 W Touhy
Council for Jewish Elderly
Chicago, IL 60645
Phone
(773) 508-1000
Fax
(773) 508-1112
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 149.006220 IL Primary

Addresses

Primary practice location

3003 W Touhy
Council for Jewish Elderly
Chicago, IL 60645

Mailing address

3003 W Touhy
Council for Jewish Elderly
Chicago, IL 60645
Phone (773) 508-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20101214000286 IL Practitioner - Clinical Social Worker 1951598184 Practice locations: Skokie, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3715 Arcadia St
Skokie, IL 60076-1740
Phone (847) 329-9327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.006220ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1306159710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W TOUHY",
            "address_2": "COUNCIL FOR JEWISH ELDERLY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60645",
            "telephone_number": "773-508-1000",
            "fax_number": "773-508-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W TOUHY",
            "address_2": "COUNCIL FOR JEWISH ELDERLY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60645",
            "telephone_number": "773-508-1000",
            "fax_number": "773-508-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARL",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "149.006220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.