Constance Toliver, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149008238 Issued in IL

Practice address

4938 S Champlain Ave Apt 2S
Chicago, IL 60615-2546

Phone

(773) 312-2047

NPI assigned

Apr 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650153600000",
    "number": "1639812795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4938 S CHAMPLAIN AVE APT 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606152546",
            "telephone_number": "773-312-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4938 S CHAMPLAIN AVE APT 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606152546",
            "telephone_number": "773-312-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLIVER",
        "first_name": "CONSTANCE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-17",
        "last_updated": "2022-04-17",
        "certification_date": "2022-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "patient/person,",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "care plan and referrals",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4938 S Champlain Ave Apt 2S",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606152546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Jane Toles, APN
• Thomas Toles, LPC
• Tolga Yenilmez
• Deepti M Tolia, D.O.
• Veeral Nalin Tolia, M.D.
• Edward C Toliver, DDS, MPH
• Alfredo Luis Toll Jr., MD
• Valerie M Toll, N.P.
• Koricho Simie Tolla, MD
• Yousif Tolla, DMD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2022; 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.