Active NPI
Shanna Leigh Blinderman, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1538617535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.016946
- Practice address
- 2746 1/2 N Hampden CT
Apt. 4CC
Chicago, IL 60614-1697 - Phone
- (630) 800-7356
- NPI assigned
- Sep 19, 2016
- Last updated
- Sep 19, 2016
- 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 | 149.016946 | IL | Primary |
Addresses
Primary practice location
2746 1/2 N Hampden CT
Apt. 4CC
Chicago, IL 60614-1697
Mailing address
2746 1/2 N Hampden CT
Apt. 4CC
Chicago, IL 60614-1697
Phone (630) 800-7356
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149.016946 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1538617535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2746 1/2 N HAMPDEN CT",
"address_2": "APT. 4CC",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141697",
"telephone_number": "630-800-7356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2746 1/2 N HAMPDEN CT",
"address_2": "APT. 4CC",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141697",
"telephone_number": "630-800-7356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLINDERMAN",
"first_name": "SHANNA",
"middle_name": "LEIGH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-19",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.016946",
"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 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.