Individual provider Active NPI

Csilla Bokor Megyeri, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1720598618
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.019692 Issued in IL
Practice address
5215 N California Ave Ste F101
Chicago, IL 60625-0035
Phone
(773) 561-5809
Fax
(773) 561-5946
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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 149.019692 IL Primary

Addresses

Primary practice location

5215 N California Ave Ste F101
Chicago, IL 60625-0035

Mailing address

5215 N California Ave Ste F101
Chicago, IL 60625-0035
Phone (773) 561-5809

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.019692ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1720598618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 N CALIFORNIA AVE STE F101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606250035",
            "telephone_number": "773-561-5809",
            "fax_number": "773-561-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N CALIFORNIA AVE STE F101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606250035",
            "telephone_number": "773-561-5809",
            "fax_number": "773-561-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGYERI",
        "first_name": "CSILLA",
        "middle_name": "BOKOR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019692",
            "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 Oct 4, 2017; 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.