Active NPI
Allison Cetina
- Social Worker
- Chicago, IL
National Provider Identifier
1760061113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.104990
- Practice address
- 1416 W Belmont Ave
Chicago, IL 60657-0939 - Phone
- (630) 779-9222
- NPI assigned
- Apr 5, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.104990 | IL | Primary |
Addresses
Primary practice location
1416 W Belmont Ave
Chicago, IL 60657-0939
Mailing address
1336 N Damen Ave Apt 104
Chicago, IL 60622-2298
Phone (630) 779-9222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150.104990 | Other | IL | IDFPR |
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 |
|---|---|---|---|
| 150.104990 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1760061113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 N DAMEN AVE APT 104",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222298",
"telephone_number": "630-779-9222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 W BELMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606570939",
"telephone_number": "630-779-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CETINA",
"first_name": "ALLISON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.104990",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDFPR",
"identifier": "150.104990",
"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 Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.