Individual provider Active NPI

Margo Fabiola Chavez-Easley, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1356917819
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149021735 Issued in IL
Practice address
1969 W Ogden Ave
Chicago, IL 60612-3773
Phone
(312) 864-3511
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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 149021735 IL Primary

Addresses

Primary practice location

1969 W Ogden Ave
Chicago, IL 60612-3773

Mailing address

7226 S Cornell Ave
Chicago, IL 60649-2803
Phone (773) 824-0715

Other names 1

  • Margo Chavez Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address margo.chavez@cookcountyhhs.org Direct Cook County Health & Hospital Systems

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
149021735ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1356917819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7226 S CORNELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492803",
            "telephone_number": "773-824-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 W OGDEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123773",
            "telephone_number": "312-864-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ-EASLEY",
        "first_name": "MARGO",
        "middle_name": "FABIOLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "margo.chavez@cookcountyhhs.org",
            "affiliation": "Y",
            "endpointDescription": "encrypted emailing",
            "affiliationName": "Cook County Health & Hospital Systems",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Emailing system, encrypted",
            "address_1": "1901 W Harrison St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARGO",
            "last_name": "CHAVEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 3, 2021; 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.