Active NPI
Erik Edward Engel, LCSW
- Clinical Social Worker
- Itasca, IL
National Provider Identifier
1356680490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.011303
- Practice address
- 404 N Rush St
Itasca, IL 60143-1846 - Phone
- (630) 200-3978
- NPI assigned
- Feb 9, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.011303 | IL | Primary |
Addresses
Primary practice location
404 N Rush St
Itasca, IL 60143-1846
Mailing address
404 N Rush St
Itasca, IL 60143-1846
Phone (630) 200-3978
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.011303 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Responders Wellness Center, PLLC | Past | 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 and National Provider Directory roles.
-
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- Lombard, IL
- NPI 1417408303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360368000000",
"number": "1356680490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 N RUSH ST",
"city": "ITASCA",
"state": "IL",
"postal_code": "601431846",
"telephone_number": "630-200-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 N RUSH ST",
"city": "ITASCA",
"state": "IL",
"postal_code": "601431846",
"telephone_number": "630-200-3978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGEL",
"first_name": "ERIK",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-09",
"last_updated": "2013-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.011303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Itasca, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.