Organization Active NPI

Heart of Gold Chicago PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1356110613
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEART OF GOLD CHICAGO PLLC
Practice address
5824 S Whipple St
Chicago, IL 60629-2525
Phone
(312) 788-7852
NPI assigned
Dec 28, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Margaret EwaldNPI 1457853319
Title
Owner
Phone
(312) 788-7852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

5824 S Whipple St
Chicago, IL 60629-2525

Mailing address

5824 S Whipple St
Chicago, IL 60629-2525
Phone (312) 788-7852

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 8, 2024.

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1356110613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 S WHIPPLE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292525",
            "telephone_number": "312-788-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 S WHIPPLE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292525",
            "telephone_number": "312-788-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF GOLD CHICAGO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "EWALD",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-788-7852"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 8, 2024; 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.