Organization Active NPI

Melissa a Mankoff LCSW LLC

  • Clinical Social Worker
  • Vernon Hills, IL
National Provider Identifier
1346597259
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014466 Issued in IL
Legal business name
MELISSA A MANKOFF LCSW LLC
Practice address
977 Lakeview Pkwy
Vernon Hills, IL 60061-1400
Phone
(847) 791-3450
Fax
(847) 913-9740
NPI assigned
Aug 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Melissa A Mankoff, LCSW
Title
Social Worker
Phone
(847) 791-3450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.014466 IL Primary

Addresses

Primary practice location

977 Lakeview Pkwy
Vernon Hills, IL 60061-1400

Mailing address

1636 N Wells St
1807
Chicago, IL 60614-6037
Phone (847) 791-3450

National Provider Directory

National Provider Directory

Locations

977 Lakeview Pkwy
Vernon Hills, IL 60061
Phone 8473054949102

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1346597259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 N WELLS ST",
            "address_2": "1807",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146037",
            "telephone_number": "847-791-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 LAKEVIEW PKWY",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611400",
            "telephone_number": "847-791-3450",
            "fax_number": "847-913-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA A MANKOFF LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "MANKOFF",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "847-791-3450",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.