Active NPI
Joel Issac Neuberger, MSSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1730249970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149003981
- Practice address
- 3759 N Ravenswood Ave
Suite 133
Chicago, IL 60613-3571 - Phone
- (847) 890-8890
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- 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 | 149003981 | IL | Primary |
Addresses
Primary practice location
3759 N Ravenswood Ave
Suite 133
Chicago, IL 60613-3571
Mailing address
3 Beacon CT
Buffalo Grove, IL 60089-4104
Phone (847) 890-8890
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 |
|---|---|---|---|
| 149003981 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1730249970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BEACON CT",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600894104",
"telephone_number": "847-890-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3759 N RAVENSWOOD AVE",
"address_2": "SUITE 133",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606133571",
"telephone_number": "847-890-8890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUBERGER",
"first_name": "JOEL",
"middle_name": "ISSAC",
"name_prefix": "Mr.",
"credential": "MSSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149003981",
"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 Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.