Individual provider Active NPI

Nicole Susan Bateman, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1811809965
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.025720 Issued in IL
Practice address
1800 N Humboldt Blvd
Chicago, IL 60647-4966
Phone
(312) 761-5946
Fax
(312) 761-5946
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.025720 IL Primary

Addresses

Primary practice location

1800 N Humboldt Blvd
Chicago, IL 60647-4966

Mailing address

5403 W Giddings St
Chicago, IL 60630-3401
Phone (312) 761-5946

Other practice location 1

3543 W Chicago Ave
Chicago, IL 60651-4003
Phone (312) 761-5946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1811809965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5403 W GIDDINGS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303401",
            "telephone_number": "312-761-5946",
            "fax_number": "312-761-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N HUMBOLDT BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474966",
            "telephone_number": "312-761-5946",
            "fax_number": "312-761-5946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3543 W Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606514003",
            "country_code": "US",
            "telephone_number": "312-761-5946",
            "fax_number": "312-761-5946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "NICOLE",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025720",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.