Individual provider Active NPI

Emily Campbell Almanza, LCSW

  • Clinical Social Worker
  • Skokie, IL
National Provider Identifier
1336368992
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.012416 Issued in IL
Practice address
8722 Saint Louis Ave
Skokie, IL 60076-2318
Phone
(773) 699-6079
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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 149.012416 IL Primary

Addresses

Primary practice location

8722 Saint Louis Ave
Skokie, IL 60076-2318

Mailing address

8722 Saint Louis Ave
Skokie, IL 60076-2318
Phone (773) 750-4444

Other practice location 1

5691 N Ridge Ave
Chicago, IL 60660-3420
Phone (773) 765-0690

Other identifiers 1

IdentifierTypeStateIssuer
149.012416OtherILBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070518000341 IL Practitioner - Clinical Social Worker 7214034685 Practice locations: Evanston, IL
I20250110000712 IL Practitioner - Clinical Social Worker 7214034685

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

708 Church St
Evanston, IL 60201-3840
Phone (773) 699-6079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.012416ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Almanza Therapy, PLLC CurrentSince Oct 17, 2024 Accepting new patients
Community Counseling Centers of Chicago Past Accepting new patients
Community Counseling Centers of Chicago Past Accepting new patients

Locations

708 Church St
Ste 261
Evanston, IL 60201
Phone (773) 595-1638

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1336368992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8722 SAINT LOUIS AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762318",
            "telephone_number": "773-750-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8722 SAINT LOUIS AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762318",
            "telephone_number": "773-699-6079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5691 N Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606603420",
            "country_code": "US",
            "telephone_number": "773-765-0690",
            "fax_number": "773-765-0701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALMANZA",
        "first_name": "EMILY",
        "middle_name": "CAMPBELL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "149.012416",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.