Individual provider Active NPI

Melissa Vitt Negoita, LCSW

  • Clinical Social Worker
  • Skokie, IL
National Provider Identifier
1639604457
Registry record updated Apr 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149013725 Issued in IL
Practice address
5250 Old Orchard Rd
Suite 300
Skokie, IL 60077-4460
Phone
(872) 239-5320
NPI assigned
Apr 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2017

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 149013725 IL Primary

Addresses

Primary practice location

5250 Old Orchard Rd
Suite 300
Skokie, IL 60077-4460

Mailing address

5250 Old Orchard Rd
Suite 300
Skokie, IL 60077-4460
Phone (872) 239-5320

Other names 1

  • Melissa Carol Vitt Former name

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
149013725ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1493510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493510400000",
    "number": "1639604457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 OLD ORCHARD RD",
            "address_2": "SUITE 300",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774460",
            "telephone_number": "872-239-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 OLD ORCHARD RD",
            "address_2": "SUITE 300",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774460",
            "telephone_number": "872-239-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGOITA",
        "first_name": "MELISSA",
        "middle_name": "VITT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-30",
        "last_updated": "2017-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "VITT",
            "middle_name": "CAROL",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; 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.