Individual provider Active NPI

Joan Irene Lepontois, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1740505577
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.000910 Issued in IL
Practice address
5544 N Western Ave
Chicago, IL 60625-2217
Phone
(773) 561-5400
NPI assigned
Apr 5, 2010
Last updated
Apr 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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 149.000910 IL Primary

Addresses

Primary practice location

5544 N Western Ave
Chicago, IL 60625-2217

Mailing address

2639 W Estes Ave Apt 1W
Chicago, IL 60645-3225
Phone (773) 761-4998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101008000777 IL Practitioner - Clinical Social Worker 3274725270 Practice locations: Lincolnwood, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.000910ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Health Services LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1740505577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 W ESTES AVE APT 1W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453225",
            "telephone_number": "773-761-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5544 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252217",
            "telephone_number": "773-561-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPONTOIS",
        "first_name": "JOAN",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.000910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.