Judith L Weirauch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018991 Issued in IL

Practice address

6423 N Greenview Ave Apt 3W
Chicago, IL 60626-6182

Phone

(303) 525-6697

NPI assigned

Nov 21, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mind Stance Inc

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1972152940
  NPD (past) Authorized official

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1780198150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6423 N GREENVIEW AVE APT 3W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606266182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6423 N GREENVIEW AVE APT 3W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606266182",
            "telephone_number": "303-525-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIRAUCH",
        "first_name": "JUDITH",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew L Weintrob, DPT
• Jeffrey Weinzweig, MD
• Norman Weinzweig, M.D.
• Caroline M. Weipert, MS, CGC
• Michelle Anayas Weir, MD
• Weird Girl Counseling
• Monica Anne Weires, FNP-BC
• Benjamin Weis, MSW, MPH
• Jamie Kaye Weis, CPNP
• Maya Willow Berg Weis

• 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 Nov 21, 2017; 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.