Active NPI
Joyce R. Gettleman, LCSW
- Clinical Social Worker
- Evanston, IL
National Provider Identifier
1679660476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149001070
- Practice address
- 2500 Ridge Ave
Suite 305
Evanston, IL 60201-2455 - Phone
- (847) 866-8653
- Fax
- (847) 866-8582
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149001070 | IL | Primary |
Addresses
Primary practice location
2500 Ridge Ave
Suite 305
Evanston, IL 60201-2455
Mailing address
2500 Ridge Ave
Suite 305
Evanston, IL 60201-2455
Phone (847) 866-8653
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Physicians Group, LLC | Past | Accepting new patients | |
| North Shore Physicians Group, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Skokie, IL
- NPI 1336461987
-
- Internal Medicine Physician
- Evanston, IL
- NPI 1912951492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1679660476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 RIDGE AVE",
"address_2": "SUITE 305",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602012455",
"telephone_number": "847-866-8653",
"fax_number": "847-866-8582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 RIDGE AVE",
"address_2": "SUITE 305",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602012455",
"telephone_number": "847-866-8653",
"fax_number": "847-866-8582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GETTLEMAN",
"first_name": "JOYCE",
"middle_name": "R.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149001070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.