Individual provider Active NPI

Shaina Castan, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1740850544
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022322 Issued in IL
Practice address
4256 N Ravenswood Ave Ste 216
Chicago, IL 60613-1114
Phone
(319) 329-4650
NPI assigned
Jun 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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 149.022322 IL Primary

Addresses

Primary practice location

4256 N Ravenswood Ave Ste 216
Chicago, IL 60613-1114

Mailing address

521 Glenshire Rd
Glenview, IL 60025-4544
Phone (319) 329-4650

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
149.022322ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Three Tomorrows Therapy PLLC Clinical CurrentSince Jan 7, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1740850544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 GLENSHIRE RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254544",
            "telephone_number": "319-329-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4256 N RAVENSWOOD AVE STE 216",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131114",
            "telephone_number": "319-329-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTAN",
        "first_name": "SHAINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022322",
            "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 Feb 15, 2024; 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.