Active NPI
Ava Rose Howard, LSW
- Social Worker
- Buffalo Grove, IL
National Provider Identifier
1649091729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.114196
- Practice address
- 1371 Abbott CT
Buffalo Grove, IL 60089-2367 - Phone
- (847) 777-8995
- NPI assigned
- Oct 21, 2024
- Last updated
- Oct 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.114196 | IL | Primary |
Addresses
Primary practice location
1371 Abbott CT
Buffalo Grove, IL 60089-2367
Mailing address
4588 Providence Rd
Gurnee, IL 60031-3224
Phone (847) 764-2698
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150.114196 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In2Great | Social Worker | Current | Accepting new patients |
Locations
1371 Abbott Ct
Buffalo Grove, IL 60089
Phone (847) 777-8995
Organizations & group practices 1
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": "1729468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1649091729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4588 PROVIDENCE RD",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313224",
"telephone_number": "847-764-2698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1371 ABBOTT CT",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600892367",
"telephone_number": "847-777-8995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "AVA",
"middle_name": "ROSE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.114196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.