Individual provider Active NPI

Judith Lea Perlman, M.S.W.

  • Clinical Social Worker
  • Skokie, IL
National Provider Identifier
1396828422
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149004815 Issued in IL
Practice address
5225 Old Orchard Rd
Suite 1
Skokie, IL 60077-4405
Phone
(847) 804-0413
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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 149004815 IL Primary

Addresses

Primary practice location

5225 Old Orchard Rd
Suite 1
Skokie, IL 60077-4405

Mailing address

5225 Old Orchard Rd
Suite 1
Skokie, IL 60077-4405
Phone (847) 804-0413

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090113000389 IL Practitioner - Clinical Social Worker 6800959180 Practice locations: Skokie, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5225 Old Orchard Rd
Suite 14
Skokie, IL 60077-1027
Phone (847) 804-0413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149004815ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie a Ross Licensed Clinical Psychologist PC PastSince Nov 30, 2016 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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1396828422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 OLD ORCHARD RD",
            "address_2": "SUITE 1",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774405",
            "telephone_number": "847-804-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 OLD ORCHARD RD",
            "address_2": "SUITE 1",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774405",
            "telephone_number": "847-804-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLMAN",
        "first_name": "JUDITH",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149004815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.