Worsham CC El, AM, LCSW, CFTP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149018288 Issued in IL

Practice address

2151 W 79TH St Ste 2
Chicago, IL 60620-5723

Phone

(312) 757-0608

Fax

(773) 952-2025

NPI assigned

Feb 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Chauntay Brenord Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lotus Trauma Care, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1083139406

  Clinical

  NPD
• Dr. Britt Borden

  • Internal Medicine Physician
  • Evanston, IL
  • NPI 1114572963
  NPD (past)
• Peer Services Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Evanston, IL
  • NPI 1881730620
  NPD (past)

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1508226911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E 79TH ST APT 315",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 W 79TH ST STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606205723",
            "telephone_number": "312-757-0608",
            "fax_number": "773-952-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL",
        "first_name": "WORSHAM",
        "middle_name": "CC",
        "name_prefix": "Ms.",
        "credential": "AM, LCSW, CFTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149018288",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAUNTAY",
            "last_name": "BRENORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Niveen Hasan El-Saleh, DC
• Katherine El-Sharkawy
• Tarek El-Shikh, PT, DPT
• Mariam El-Zein
• Katherine El, PA-C
• Elaborate Counseling LLC
• Amna Elahi, MD
• Samia Tasnim Elahi
• Seema Elahi, M.D.
• Shabnam Elahi, MD

• 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 Jan 15, 2020; 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.