Individual provider Active NPI

Asma Amanullah, LSW

  • Social Worker
  • Plainfield, IL
National Provider Identifier
1639820020
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.105613 Issued in IL
Practice address
23819 W Mill St Ste 7
Plainfield, IL 60544-3460
Phone
(815) 683-8700
Fax
(815) 384-1061
NPI assigned
Jan 17, 2022
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.105613 IL Primary

Addresses

Primary practice location

23819 W Mill St Ste 7
Plainfield, IL 60544-3460

Mailing address

23908 W Main St
Plainfield, IL 60544-2122
Phone (773) 934-7381

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
150.105613ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A New Day Counseling & Family Wellness, Inc. NFP Social Worker CurrentSince Jan 26, 2022 Accepting new patients
A New Day Family Counseling Social Worker PastSince Jan 26, 2022 Accepting new patients

Locations

14722 S Naperville Rd
Ste 100
Plainfield, IL 60544
Phone (815) 254-9141

23908 W Main St
Plainfield, IL 60544
Phone (815) 683-8700

Organizations & group practices 2

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": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1639820020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23908 W MAIN ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442122",
            "telephone_number": "773-934-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23819 W MILL ST STE 7",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605443460",
            "telephone_number": "815-683-8700",
            "fax_number": "815-384-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANULLAH",
        "first_name": "ASMA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.105613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

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