Individual provider Active NPI

Valeria Slapak Brown

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1710241666
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149025990 Issued in IL
Practice address
1200 Elmwood Ave
Evanston, IL 60202-1213
Phone
(847) 512-7221
NPI assigned
Jun 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 36555 CA
Clinical Social Worker 1041C0700X 34009103A IN
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149025990 IL Primary

Addresses

Primary practice location

1200 Elmwood Ave
Evanston, IL 60202-1213

Mailing address

1200 Elmwood Ave
Evanston, IL 60202-1213
Phone (847) 512-7221

Other practice location 1

3625 Park Pl W
Mishawaka, IN 46545-3561
Phone (574) 282-1090 ext. 5

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

LicenseStateTypeSpecialty
36555CAMDClinical Social Worker
149025990ILMDClinical Social Worker
34009103AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ombu Counseling PLLC Single Specialty CurrentSince Dec 3, 2023 Accepting new patients
Feathergill & Associates LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1710241666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ELMWOOD AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021213",
            "telephone_number": "847-512-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ELMWOOD AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021213",
            "telephone_number": "847-512-7221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3625 Park Pl W",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465453561",
            "country_code": "US",
            "telephone_number": "574-282-1090 x5",
            "fax_number": "866-540-3094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAPAK BROWN",
        "first_name": "VALERIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "36555",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009103A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149025990",
            "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 Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.