Shaysa Villa LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SHAYSA VILLA LLC

Practice address

1136 S Delano CT W Ste B201
Chicago, IL 60605-3734

Phone

(312) 667-3884

Fax

(312) 509-4936

NPI assigned

Feb 19, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shaysa Esther Villa, LCSWNPI 1417511890

Title

Owner

Phone

(312) 681-7235

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shaysa Esther Villa, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1417511890
  Authorized official Same address or phone

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

{
    "created_epoch": "1645228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1750036513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 S DELANO CT W STE B201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053734",
            "fax_number": "312-509-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 S DELANO CT W STE B201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053734",
            "telephone_number": "312-667-3884",
            "fax_number": "312-509-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAYSA VILLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-19",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "SHAYSA",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-681-7235",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Shay
• Samantha Shay, LCSW
• Shahriar Shayan, MD
• Behnoosh Shayegan, M.D.
• Shayna Goldstein, LMFT, LLC
• Hani Shayya
• She Is Strong and Mindful
• Beckett Shea-Shumsky, MSOT
• Caitlin Marie Shea, LPC
• Christopher Shea

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.