Individual provider Active NPI

Julia Gordon Singer, L.C.S.W.

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1518308808
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1663860 Issued in IL
Practice address
2855 W Jerome St
2855 W. Jerome St.
Chicago, IL 60645-1230
Phone
(773) 274-2478
NPI assigned
Jul 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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 1663860 IL Primary

Addresses

Primary practice location

2855 W Jerome St
2855 W. Jerome St.
Chicago, IL 60645-1230

Mailing address

2855 W Jerome St
Chicago, IL 60645-1230
Phone (773) 274-2478

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
1663860ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1518308808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 W JEROME ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451230",
            "telephone_number": "773-274-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 W JEROME ST",
            "address_2": "2855 W. JEROME ST.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451230",
            "telephone_number": "773-274-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGER",
        "first_name": "JULIA",
        "middle_name": "GORDON",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "1663860",
            "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 15, 2013; 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.