Active NPI
Colleen Daly Nowlan
- Social Worker
- Libertyville, IL
National Provider Identifier
1700431707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1113 S Milwaukee Ave Ste 104
Libertyville, IL 60048-3759 - Phone
- (847) 367-5991
- NPI assigned
- Aug 6, 2019
- Last updated
- Jun 17, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1113 S Milwaukee Ave Ste 104
Libertyville, IL 60048-3759
Mailing address
707 W Burning Tree LN
Arlington Heights, IL 60004-2036
Phone (847) 571-4711
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1700431707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 W BURNING TREE LN",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600042036",
"telephone_number": "847-571-4711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 S MILWAUKEE AVE STE 104",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600483759",
"telephone_number": "847-367-5991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWLAN",
"first_name": "COLLEEN",
"middle_name": "DALY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.