Individual provider Active NPI

J Alex Sanger, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1700139896
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149014712 Issued in IL
Practice address
25 E Washington St Ste 2005
Chicago, IL 60602-1809
Phone
(312) 925-9229
Fax
(844) 965-9297
NPI assigned
Oct 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149014712 IL Primary

Addresses

Primary practice location

25 E Washington St Ste 2005
Chicago, IL 60602-1809

Mailing address

25 E Washington St Ste 2005
Chicago, IL 60602-1809
Phone (312) 925-9229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 25, 2025 through Nov 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149014712ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1700139896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 2005",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021809",
            "telephone_number": "312-925-9229",
            "fax_number": "844-965-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 2005",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021809",
            "telephone_number": "312-925-9229",
            "fax_number": "844-965-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGER",
        "first_name": "J",
        "middle_name": "ALEX",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.