Active NPI
School District 64 Park Ridge/Niles, Il
- School Social Worker
- Park Ridge, IL
National Provider Identifier
1689810046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 150005062
- Legal business name
- SCHOOL DISTRICT 64 PARK RIDGE/NILES, IL
- Practice address
- 1731 Pavilion Way Unit 207
#207
Park Ridge, IL 60068-1190 - Phone
- (847) 899-8284
- NPI assigned
- Jan 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Victoria Mogil, PHD IN EDUCATION
- Title
- Principal of Emerson Middle School
- Phone
- (847) 318-8110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 150005062 | IL | Primary |
Addresses
Primary practice location
1731 Pavilion Way Unit 207
#207
Park Ridge, IL 60068-1190
Mailing address
8101 N Cumberland Ave
Niles, IL 60714-2736
Phone (847) 318-8713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150005062 | Other | IL | STATE OF ILLINOIS DEPT. OF REGISTRATION SOCIAL WORK |
National Provider Directory
National Provider DirectoryLocations
8101 N Cumberland Ave
Niles, IL 60714
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Park Ridge, IL
- NPI 1366863771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231200000000",
"number": "1689810046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 N CUMBERLAND AVE",
"city": "NILES",
"state": "IL",
"postal_code": "607142736",
"telephone_number": "847-318-8713",
"fax_number": "847-318-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 PAVILION WAY UNIT 207",
"address_2": "#207",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681190",
"telephone_number": "847-899-8284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHOOL DISTRICT 64 PARK RIDGE/NILES, IL",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-06",
"last_updated": "2009-01-06",
"status": "A",
"authorized_official_last_name": "MOGIL",
"authorized_official_first_name": "VICTORIA",
"authorized_official_title_or_position": "PRINCIPAL OF EMERSON MIDDLE SCHOOL",
"authorized_official_telephone_number": "18473188110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD IN EDUCATION"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": "IL",
"license": "150005062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLINOIS DEPT. OF REGISTRATION SOCIAL WORK",
"identifier": "150005062",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.