Active NPI
Susan Shrifter-Fialkow
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1780773267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149002946
- Practice address
- 435 N Michigan Ave
Suite 2800
Chicago, IL 60611-4066 - Phone
- (312) 245-3120
- Fax
- (312) 245-3124
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149002946 | IL | Primary |
Addresses
Primary practice location
435 N Michigan Ave
Suite 2800
Chicago, IL 60611-4066
Mailing address
2435 Hampton LN
Northbrook, IL 60062-6942
Phone (312) 245-3120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162-0249 | Other | IL | BLUE CROSS/BLUE SHIELD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050414000367 | IL | Practitioner - Clinical Social Worker | 8123065968 | Practice locations: Chicago, IL; Northfield, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
233 E Erie St
Suite 416
Chicago, IL 60611-2972
Phone (847) 533-1818
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149002946 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam & Associates Psychotherapy Services, Inc. | Past | Accepting new patients | |
| Center for Behavioral Medicine LTD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric Hospital Unit
- Evanston, IL
- NPI 1417187717
-
- Clinical Psychologist
- Chicago, IL
- NPI 1336237437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271289600000",
"number": "1780773267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 HAMPTON LN",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600626942",
"telephone_number": "312-245-3120",
"fax_number": "312-245-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 N MICHIGAN AVE",
"address_2": "SUITE 2800",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114066",
"telephone_number": "312-245-3120",
"fax_number": "312-245-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRIFTER-FIALKOW",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2010-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149002946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "162-0249",
"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 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.