Individual provider Active NPI

Holly Anne Barratt, LSW

  • Social Worker
  • Chicago, IL
National Provider Identifier
1558036731
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150104897 Issued in IL
Practice address
2625 W Touhy Ave
Chicago, IL 60645-3186
Phone
(773) 973-5333
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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 150104897 IL Primary

Addresses

Primary practice location

2625 W Touhy Ave
Chicago, IL 60645-3186

Mailing address

1400 N Lake Shore Dr Apt 7J
Chicago, IL 60610-6617
Phone (815) 261-8013

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address holly@buckinghampavilion.com Health Information Exchange (HIE)

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
150104897ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1558036731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N LAKE SHORE DR APT 7J",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606106617",
            "telephone_number": "815-261-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453186",
            "telephone_number": "773-973-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRATT",
        "first_name": "HOLLY",
        "middle_name": "ANNE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150104897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holly@buckinghampavilion.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "2625 W Touhy Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606453186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 10, 2021; 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.