Individual provider Active NPI

Debby Shen

  • Social Worker
  • Chicago, IL
National Provider Identifier
1386365799
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.108686 Issued in IL
Practice address
180 N Michigan Ave Ste 531
Chicago, IL 60601-7426
Phone
(312) 620-1420
Fax
(312) 345-8444
NPI assigned
Sep 6, 2022
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.108686 IL Primary

Addresses

Primary practice location

180 N Michigan Ave Ste 531
Chicago, IL 60601-7426

Mailing address

837 W Wrightwood Ave Apt 1
Chicago, IL 60614-0722
Phone (847) 909-6412

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
150.108686ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Farah Hussain, LCSW, P.C. CurrentSince Oct 20, 2024 Accepting new patients

Locations

180 N Michigan Ave
Ste 531
Chicago, IL 60601
Phone (312) 523-9959

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1386365799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 W WRIGHTWOOD AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606140722",
            "telephone_number": "847-909-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE STE 531",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017426",
            "telephone_number": "312-620-1420",
            "fax_number": "312-345-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "DEBBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.108686",
            "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 Sep 6, 2022; 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.