NPIMap

Organization Active NPI

Monica K. Ferkin, LLC

  • Clinical Social Worker
  • Gurnee, IL
National Provider Identifier
1790927770
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.000023 Issued in IL
Legal business name
MONICA K. FERKIN, LLC
Practice address
1800 Nations Dr
Gurnee, IL 60031-9168
Phone
(224) 501-5102
NPI assigned
Apr 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Authorized official

Name
Monica K. Ferkin, LCSW, CADC, CEAPNPI 1396980769
Title
Licensed Clinical Social Worker
Phone
(847) 770-7202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149.000023 IL Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6617-123 WI

Addresses

Primary practice location

1800 Nations Dr
Gurnee, IL 60031-9168

Mailing address

7285 Clem Dr
Gurnee, IL 60031-5194

Other names 1

  • Monica K. Ferkin Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1790927770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7285 CLEM DR",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NATIONS DR",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319168",
            "telephone_number": "224-501-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA K. FERKIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "FERKIN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "847-770-7202",
        "authorized_official_credential": "LCSW, CADC, CEAP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.000023",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6617-123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monica K. Ferkin",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.