Individual provider Active NPI

Nancy Lynne Gajewski

  • Social Worker
  • Chicago, IL
National Provider Identifier
1538256276
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
Chicago Department of Public Health
333 S State Street Revenue #200
Chicago, IL 60604
Phone
(312) 747-9442
Fax
(312) 747-9447
NPI assigned
Oct 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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
Social Worker 104100000X IL Primary

Addresses

Primary practice location

Chicago Department of Public Health
333 S State Street Revenue #200
Chicago, IL 60604

Mailing address

Chicago Department of Public Health
333 S State Street Revenue #200
Chicago, IL 60604
Phone (312) 747-9442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070922000048 IL Practitioner - Clinical Social Worker 6901990860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4150 W 55TH St
Greater Lawn Public Health Clinic
Chicago, IL 60632-4242
Phone (312) 747-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149002578ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
City of Chicago CurrentSince Nov 11, 2009 Accepting new patients
City of Chicago CurrentSince Nov 11, 2009 Accepting new patients

Locations

111 W Washington St
Fl 4
Chicago, IL 60602
Phone (312) 747-2203

1140 W 79th St
Chicago, IL 60620
Phone (312) 682-6110

333 S State St
Ste 200
Chicago, IL 60604
Phone (312) 747-9442

4150 W 55th St
Chicago, IL 60632
Phone (312) 745-3225

845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538256276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHICAGO DEPARTMENT OF PUBLIC HEALTH",
            "address_2": "333 S STATE STREET REVENUE #200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60604",
            "telephone_number": "312-747-9442",
            "fax_number": "312-747-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHICAGO DEPARTMENT OF PUBLIC HEALTH",
            "address_2": "333 S STATE STREET REVENUE #200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60604",
            "telephone_number": "312-747-9442",
            "fax_number": "312-747-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJEWSKI",
        "first_name": "NANCY",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.