Active NPI
Judith Kay Perloff
- Clinical Social Worker
- Evanston, IL
National Provider Identifier
1700524683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.005448
- Practice address
- 1612 Grove St
Evanston, IL 60201-4058 - Phone
- (773) 619-8753
- NPI assigned
- May 21, 2022
- 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 | 149.005448 | IL | Primary |
Addresses
Primary practice location
1612 Grove St
Evanston, IL 60201-4058
Mailing address
1612 Grove St
Evanston, IL 60201-4058
Phone (773) 619-8753
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 |
|---|---|---|---|
| 149.005448 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653091200000",
"number": "1700524683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 GROVE ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014058",
"telephone_number": "773-619-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 GROVE ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014058",
"telephone_number": "773-619-8753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLOFF",
"first_name": "JUDITH",
"middle_name": "KAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-21",
"last_updated": "2022-05-21",
"certification_date": "2022-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.005448",
"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 May 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.