Nicholas S Branock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012784 Issued in IL

Practice address

600 Davis St
Evanston, IL 60201-4488

Phone

(847) 220-2527

Fax

(847) 570-1405

NPI assigned

Jun 19, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Howard Brown Health Center

  • Health Educator
  • Chicago, IL
  • NPI 1811824121
  NPD (past)

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1649407479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 N SHERIDAN RD APT 14B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DAVIS ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014488",
            "telephone_number": "847-220-2527",
            "fax_number": "847-570-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANOCK",
        "first_name": "NICHOLAS",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Grace Bradean, LCSW
• Curtis Bradford, M.D.
• Michelle Nadine Brand, MA, CCC, SLP
• Carol Irene Branka, PAC
• Robert Brannick, PA-C
• Jyoti Eknoor Brar, M.B.B.S.
• Ankica Braun, MD
• David Braun, LCSW
• Nikolas Brcic
• Yosvani Breal

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, 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 Jun 19, 2009; 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.