Individual provider Active NPI

Ginny Nikiforos, LCSW, BCBA

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1629338926
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149015268 Issued in IL
Practice address
2923 N Milwaukee Ave Unit 306
Chicago, IL 60618-7886
Phone
(773) 726-4832
Fax
(773) 409-5458
NPI assigned
May 21, 2012
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149015268 IL Primary
Behavior Analyst 103K00000X 1-14-17879 IL

Addresses

Primary practice location

2923 N Milwaukee Ave Unit 306
Chicago, IL 60618-7886

Mailing address

2923 N Milwaukee Ave Ste 306
Chicago, IL 60618-7886
Phone (773) 217-0478

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
I20120727000789 IL Practitioner - Clinical Social Worker 7911163423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2850 N Rockwell St
Chicago, IL 60618-7804
Phone (773) 217-0478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149015268ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Advanced Psychotherapy Solutions LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ginnynikiforos@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1629338926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 N MILWAUKEE AVE STE 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187886",
            "telephone_number": "773-217-0478",
            "fax_number": "773-409-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 N MILWAUKEE AVE UNIT 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187886",
            "telephone_number": "773-726-4832",
            "fax_number": "773-409-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKIFOROS",
        "first_name": "GINNY",
        "name_prefix": "Mrs.",
        "credential": "LCSW, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015268",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-14-17879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.