Farah Alexandra Kurdi-Villate, AM, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149026010 Issued in IL

Practice address

440 N Wabash Ave Apt 4809
Chicago, IL 60611-7680

Phone

(773) 505-0783

NPI assigned

Nov 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Wildflower Center for Emotional Health PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1114342599
  NPD (past)

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1649935453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N WABASH AVE APT 4809",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117680",
            "telephone_number": "773-505-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N WABASH AVE APT 4809",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117680",
            "telephone_number": "773-505-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURDI-VILLATE",
        "first_name": "FARAH",
        "middle_name": "ALEXANDRA",
        "credential": "AM, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150106862",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149026010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Kurapaty, MD
• Edward Kuras, LCPC, MA
• Sandra L Kurby, MPH, RD, LDN
• Ellen Hendrickson Kurczab
• Christine Margaret Kurczaba, PA-C, MMSC
• Lucy Teresa Kurdziel Caron, DDS
• Kureas Counseling PLLC
• Julie Kurek
• Jorge Alberto Kurganoff, MD
• Jonathan Philip Kuriakose, MD

• 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 Jan 15, 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.

Verify at the official NPI Registry.