Individual provider Active NPI

Brianna Rose Espino, LSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1356852479
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
150102724 Issued in IL
Practice address
155 N Michigan Ave Ste 624
Chicago, IL 60601-7795
Phone
(312) 620-0695
Fax
(773) 409-5955
NPI assigned
Oct 16, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150102724 IL
Clinical Social Worker 1041C0700X 150102724 IL Primary

Addresses

Primary practice location

155 N Michigan Ave Ste 624
Chicago, IL 60601-7795

Mailing address

155 N Michigan Ave Ste 624
Chicago, IL 60601-7795

Other practice location 1

715 Lake St Ste 269
Oak Park, IL 60301-1411
Phone (312) 620-0695

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
150102724ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356852479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 624",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 624",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017795",
            "telephone_number": "312-620-0695",
            "fax_number": "773-409-5955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Lake St Ste 269",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011411",
            "country_code": "US",
            "telephone_number": "312-620-0695",
            "fax_number": "773-409-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPINO",
        "first_name": "BRIANNA",
        "middle_name": "ROSE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150102724",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150102724",
            "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 17, 2018; 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.