Individual provider Active NPI

Susan Elizabeth Prigge, MSW, LCSW

  • Clinical Social Worker
  • West Chicago, IL
National Provider Identifier
1629406038
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.008009 Issued in IL
Practice address
490 East Roosevelt Rd.
Suite 205
West Chicago, IL 60185
Phone
(630) 525-0025
Fax
(630) 604-0820
NPI assigned
Oct 22, 2013
Last updated
Oct 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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 149.008009 IL Primary

Addresses

Primary practice location

490 East Roosevelt Rd.
Suite 205
West Chicago, IL 60185

Mailing address

490 East Roosevelt Rd
Suite 205
West Chicago, IL 60185
Phone (630) 525-0025

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
149.008009ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1629406038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 EAST ROOSEVELT RD",
            "address_2": "SUITE 205",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "60185",
            "telephone_number": "630-525-0025",
            "fax_number": "630-604-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 EAST ROOSEVELT RD.",
            "address_2": "SUITE 205",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "60185",
            "telephone_number": "630-525-0025",
            "fax_number": "630-604-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIGGE",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.008009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.