Active NPI
Sharon Boris, LCSW LLC
- Clinical Social Worker
- Downers Grove, IL
National Provider Identifier
1821240136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-007417
- Legal business name
- SHARON BORIS, LCSW LLC
- Practice address
- 4326 Prince St
Suite 4
Downers Grove, IL 60515-2875 - Phone
- (708) 217-2726
- NPI assigned
- Oct 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Boris, LCSW
- Title
- Clinical Social Worker
- Phone
- (708) 217-2726
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149-007417 | IL | Primary |
Addresses
Primary practice location
4326 Prince St
Suite 4
Downers Grove, IL 60515-2875
Mailing address
4326 Prince St
Suite 4
Downers Grove, IL 60515-2875
Phone (708) 217-2726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4326 Prince St
Ste 4
Downers Grove, IL 60515
Phone (708) 217-2726
5509 Belmont Rd
Ste C
Downers Grove, IL 60515
Phone (630) 734-0147
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Oak Brook, IL
- NPI 1134303134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224201600000",
"number": "1821240136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4326 PRINCE ST",
"address_2": "SUITE 4",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605152875",
"telephone_number": "708-217-2726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4326 PRINCE ST",
"address_2": "SUITE 4",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605152875",
"telephone_number": "708-217-2726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARON BORIS, LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-17",
"last_updated": "2008-10-17",
"status": "A",
"authorized_official_last_name": "BORIS",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "708-217-2726",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-007417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.