Individual provider Active NPI

Emily Hanneman, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1609436294
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149020985 Issued in IL
Practice address
4809 N Ravenswood Ave Unit 319a
Chicago, IL 60640-6648
Phone
(312) 650-9025
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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 149020985 IL Primary

Addresses

Primary practice location

4809 N Ravenswood Ave Unit 319a
Chicago, IL 60640-6648

Mailing address

4809 N Ravenswood Ave Unit 319a
Chicago, IL 60640-6648
Phone (312) 650-9025

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
I20191028001888 IL Practitioner - Clinical Social Worker 5193057958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emily Hanneman LCSW PLLCGroup PAC ID 4082092267, 2 clinicians

Practice addresses (Care Compare)

4809 N Ravenswood Ave
Unit 319a
Chicago, IL 60640-6648
Phone (312) 650-9025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Hanneman, LCSW PLLC Clinical CurrentSince Sep 1, 2019 Accepting new patients

Locations

5215 N Ravenswood Ave
Ste 212
Chicago, IL 60640
Phone (312) 650-9025

4809 N Ravenswood Ave
Unit 319A
Chicago, IL 60640
Phone (312) 584-3355

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1609436294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 N RAVENSWOOD AVE UNIT 319A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406648",
            "telephone_number": "312-650-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 N RAVENSWOOD AVE UNIT 319A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406648",
            "telephone_number": "312-650-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNEMAN",
        "first_name": "EMILY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.