Individual provider Active NPI

Chloe Ford, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1710416292
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149017696 Issued in IL
Practice address
111 N Wabash Ave Ste 100
Chicago, IL 60602-1903
Phone
(312) 761-9255
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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 149017696 IL Primary

Addresses

Primary practice location

111 N Wabash Ave Ste 100
Chicago, IL 60602-1903

Mailing address

111 N Wabash Ave Ste 100
Chicago, IL 60602-1903
Phone (312) 761-9255

Other practice location 1

10854 S Hoyne Ave
Chicago, IL 60643-3321
Phone (312) 761-9255

Other practice location 2

10735 S Cicero Ave
Oak Lawn, IL 60453-5400
Phone (708) 424-0001

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
149017696ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thereafter Therapy PLLC Clinical Current Accepting new patients

Locations

111 N Wabash Ave
Ste 100
Chicago, IL 60602
Phone (312) 219-1597

Organizations & group practices 1

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1710416292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "312-761-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "312-761-9255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10854 S Hoyne Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606433321",
            "country_code": "US",
            "telephone_number": "312-761-9255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10735 S Cicero Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604535400",
            "country_code": "US",
            "telephone_number": "708-424-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "CHLOE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.