Active NPI
Debra Ann Markovitz, L.C.S.W.
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1740481936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-010537
- Practice address
- 710 S Paulina St
Suite 424
Chicago, IL 60612-3808 - Phone
- (312) 942-3987
- Fax
- (312) 942-3987
- NPI assigned
- May 29, 2007
- Last updated
- Jun 5, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 149-010537 | IL | Primary |
Addresses
Primary practice location
710 S Paulina St
Suite 424
Chicago, IL 60612-3808
Mailing address
710 S Paulina St
Suite 424
Chicago, IL 60612-3808
Phone (312) 942-3987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149-010537 | Other | IL | SOCIAL WORK LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149-010537 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1740481936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 S PAULINA ST",
"address_2": "SUITE 424",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123808",
"telephone_number": "312-942-3987",
"fax_number": "312-942-3987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 S PAULINA ST",
"address_2": "SUITE 424",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123808",
"telephone_number": "312-942-3987",
"fax_number": "312-942-3987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKOVITZ",
"first_name": "DEBRA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-010537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSE",
"identifier": "149-010537",
"state": "IL"
}
],
"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 Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.