Individual provider Active NPI

James Bernard Huenink, MA

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1316002876
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-002114 Issued in IL
Practice address
655 W Irving Park Rd Ste 202
Chicago, IL 60613-4932
Phone
(773) 388-9511
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149-002114 IL Primary

Addresses

Primary practice location

655 W Irving Park Rd Ste 202
Chicago, IL 60613-4932

Mailing address

655 W Irving Park Rd Ste 202
Chicago, IL 60613-4932
Phone (773) 388-9511

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
149-002114ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316002876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W IRVING PARK RD STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134932",
            "telephone_number": "773-388-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W IRVING PARK RD STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134932",
            "telephone_number": "773-388-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUENINK",
        "first_name": "JAMES",
        "middle_name": "BERNARD",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-002114",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.