Individual provider Active NPI

James M Neria, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1669939153
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022971 Issued in IL
Practice address
4610 N Clark St # 1157
Chicago, IL 60640-4620
Phone
(312) 970-1787
NPI assigned
Feb 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 094867 NY
Clinical Social Worker 1041C0700X 0904016984 VA
Clinical Social Worker 1041C0700X 149.022971 IL Primary

Addresses

Primary practice location

4610 N Clark St # 1157
Chicago, IL 60640-4620

Mailing address

4610 N Clark St # 1157
Chicago, IL 60640-4620
Phone (312) 970-1787

Other practice location 1

908 Page St Apt B
Charlottesville, VA 22903-4438
Phone (370) 970-1787

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
149.022971ILMDClinical Social Worker
094867NYMDClinical Social Worker
0904016984VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
James Neria, PLLC Clinical Current Accepting new patients

Locations

4305 N Lincoln Ave
Ste L
Chicago, IL 60618
Phone (773) 420-7944

4610 N Clark St
Chicago, IL 60640
Phone (312) 278-7628

114 5th Ave
Fl 2
New York, NY 10011
Phone (347) 871-3447

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1669939153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 N CLARK ST # 1157",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404620",
            "telephone_number": "312-970-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 N CLARK ST # 1157",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404620",
            "telephone_number": "312-970-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 Page St Apt B",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229034438",
            "country_code": "US",
            "telephone_number": "370-970-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NERIA",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-21",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094867",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016984",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.