Individual provider Active NPI

Arryn Hawthorne, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1477521292
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009565 Issued in IL
Practice address
5756 N Ridge Ave Ste 15
Chicago, IL 60660-5333
Phone
(773) 688-4499
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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 149009565 IL Primary

Addresses

Primary practice location

5756 N Ridge Ave Ste 15
Chicago, IL 60660-5333

Mailing address

5756 N Ridge Ave Ste 15
Chicago, IL 60660-5333
Phone (773) 688-4499

Other identifiers 1

IdentifierTypeStateIssuer
1634555OtherILBCBSIL PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 5, 2022 through Feb 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Brown Health Center Past Accepting new patients
Christine McCall LCSW Cadc LLC Clinical PastSince Aug 2, 2018 Accepting new patients
Chiropractic for Life L.L.C. PastSince Aug 1, 1993 Accepting new patients
Howard Brown Health Center Past Accepting new patients

Organizations & group practices 4

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1477521292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5756 N RIDGE AVE STE 15",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605333",
            "telephone_number": "773-688-4499",
            "fax_number": "773-813-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5756 N RIDGE AVE STE 15",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605333",
            "telephone_number": "773-688-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "ARRYN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL PROVIDER NUMBER",
            "identifier": "1634555",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.