Individual provider Active NPI

Ali Wayer, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1437273307
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3139 N Lincoln Ave
Suite #225
Chicago, IL 60657-3114
Phone
(773) 263-6231
Fax
(773) 868-1580
NPI assigned
Mar 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

3139 N Lincoln Ave
Suite #225
Chicago, IL 60657-3114

Mailing address

3139 N Lincoln Ave
Suite #225
Chicago, IL 60657-3114
Phone (773) 263-6231

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
149-010206ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437273307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3139 N LINCOLN AVE",
            "address_2": "SUITE #225",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573114",
            "telephone_number": "773-263-6231",
            "fax_number": "773-868-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 N LINCOLN AVE",
            "address_2": "SUITE #225",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573114",
            "telephone_number": "773-263-6231",
            "fax_number": "773-868-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYER",
        "first_name": "ALI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "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 Jul 8, 2007; 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.