Active NPI
Stephanie Marie Sarmas, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1679937080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149018204
- Practice address
- 4411 N Ravenswood Ave
Chicago, IL 60640-5802 - Phone
- (773) 336-6039
- NPI assigned
- Apr 12, 2016
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149018204 | IL | Primary |
Addresses
Primary practice location
4411 N Ravenswood Ave
Chicago, IL 60640-5802
Mailing address
817 West Lill Avenue, Unit 3
Chicago, IL 60614-6519
Phone (847) 924-2094
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81710827 | Medicaid | IL |
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 |
|---|---|---|---|
| 149018204 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1679937080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 WEST LILL AVENUE, UNIT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146519",
"telephone_number": "847-924-2094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 N RAVENSWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405802",
"telephone_number": "773-336-6039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARMAS",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-12",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149018204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81710827",
"state": "IL"
}
],
"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 Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.