Individual provider Active NPI

Alisha R Warren, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1326520081
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.017408 Issued in IL
Practice address
1041 N Western Ave
Chicago, IL 60622-3571
Phone
(312) 788-7323
NPI assigned
Aug 29, 2018
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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 149.017408 IL Primary

Addresses

Primary practice location

1041 N Western Ave
Chicago, IL 60622-3571

Mailing address

4601 N Monticello Ave Apt 1
Chicago, IL 60625-6401
Phone (773) 526-8650

Other practice location 1

4601 N Monticello Ave Apt 1
Chicago, IL 60625-6401
Phone (773) 526-8650

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

LicenseStateTypeSpecialty
149.017408ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Counseling Centers LLC Clinical CurrentSince Apr 5, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1326520081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 N MONTICELLO AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256401",
            "telephone_number": "773-526-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223571",
            "telephone_number": "312-788-7323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4601 N Monticello Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606256401",
            "country_code": "US",
            "telephone_number": "773-526-8650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ALISHA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017408",
            "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 Mar 31, 2020; 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.