Organization Active NPI

Ron Ahlberg LCSW LTD

  • Clinical Social Worker
  • Yorkville, IL
National Provider Identifier
1619166907
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RON AHLBERG LCSW LTD
Practice address
1905 Marketview Dr # 152
Yorkville, IL 60560-1896
Phone
(630) 385-2646
Fax
(630) 385-2647
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ronald Owen Ahlberg, LCSW
Title
President
Phone
(630) 385-2646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X IL Primary

Addresses

Primary practice location

1905 Marketview Dr # 152
Yorkville, IL 60560-1896

Mailing address

1905 Marketview Dr # 152
Yorkville, IL 60560-1896
Phone (630) 385-2646

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1619166907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 MARKETVIEW DR # 152",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601896",
            "telephone_number": "630-385-2646",
            "fax_number": "630-385-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 MARKETVIEW DR # 152",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601896",
            "telephone_number": "630-385-2646",
            "fax_number": "630-385-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON AHLBERG LCSW LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "AHLBERG",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-385-2646",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.