Ena Isis Millward, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.027579 Issued in IL

Practice address

1719 N Rutherford Ave
Chicago, IL 60707-3942

Phone

(773) 707-6093

NPI assigned

Aug 24, 2024

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alza Great Lakes Psychotherapy Professional LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1720812860
  Medicare reassignment NPD

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1386477230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 N RUTHERFORD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073942",
            "telephone_number": "773-707-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 N RUTHERFORD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073942",
            "telephone_number": "773-707-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLWARD",
        "first_name": "ENA",
        "middle_name": "ISIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.027579",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0136253TELE",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth H Mills, LCSW
• Sarah Elizabeth Mills
• William Mills, LCSW
• Chad Thomas Millsap, O.D.
• Adila Millwala, PT CWS
• Nicole Durek Milnamow, PT DPT
• Ronald Marshall Milnarik, D.D.S.
• Ross Milner
• Sophia Milord, DO
• Mary Beth Miloro, DDS

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.