Active NPI
Tiffany Nix, LCSW
- Clinical Social Worker
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149021144
- Practice address
- 1136 S Delano CT W Ste B201
Chicago, IL 60605-3734 - Phone
- (773) 726-8464
- NPI assigned
- Jun 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149021144 | IL | Primary |
Addresses
Primary practice location
1136 S Delano CT W Ste B201
Chicago, IL 60605-3734
Mailing address
6640 S University Ave
Chicago, IL 60637-4320
Other practice location 1
800 Main St Ste 210
Antioch, IL 60002-1578
Phone (847) 209-0356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149021144 | IL | MD | Clinical Social Worker |
| 111489 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Kneip, PH.D., P.C. | Current | Accepting new patients | |
| Guided Expressions LLC | Clinical | Current | Accepting new patients |
| MHN Infusions Group LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Vitae Health Medical Illinois, PLLC | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
818 E 63rd St
Chicago, IL 60637
Phone (872) 253-6064
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
5113 S Harper Ave
Fl 2
Chicago, IL 60615
Phone (312) 772-6798
1136 S Delano Ct W
Ste B201
Chicago, IL 60605
Phone (312) 248-0230
10124 S Kedzie Ave
Evergreen Pk, IL 60805
Phone (708) 636-9200
1560 Wall St
Ste 204
Naperville, IL 60563
Phone (630) 491-9749
3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
Organizations & group practices 5
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.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1770121436
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1174380885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1528629938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6640 S UNIVERSITY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606374320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 S DELANO CT W STE B201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606053734",
"telephone_number": "773-726-8464"
}
],
"practiceLocations": [
{
"address_1": "800 Main St Ste 210",
"address_purpose": "LOCATION",
"city": "Antioch",
"state": "IL",
"postal_code": "600021578",
"country_code": "US",
"telephone_number": "847-209-0356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIX",
"first_name": "TIFFANY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149021144",
"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 Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.