Individual provider Active NPI

Allison Popper Yambor, LCSW MA

  • Clinical Social Worker
  • Deerfield, IL
National Provider Identifier
1427523091
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.010739
Practice address
770 Lake Cook Rd Ste 220
Deerfield, IL 60015-4920
Phone
(847) 924-7743
NPI assigned
Oct 9, 2018
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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 149.010739 Primary

Addresses

Primary practice location

770 Lake Cook Rd Ste 220
Deerfield, IL 60015-4920

Mailing address

346 Brookside Dr
Wilmette, IL 60091-3047
Phone (847) 924-7743

Other names 1

  • Allison Popper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 21, 2021 through Jul 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1427523091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 BROOKSIDE DR",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913047",
            "telephone_number": "847-924-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 LAKE COOK RD STE 220",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154920",
            "telephone_number": "847-924-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMBOR",
        "first_name": "ALLISON",
        "middle_name": "POPPER",
        "name_prefix": "Ms.",
        "credential": "LCSW MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "149.010739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "POPPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.