Organization Active NPI

Benjamin Fogel, LCSW, LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1841782489
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BENJAMIN FOGEL, LCSW, LLC
Practice address
53 W Jackson Blvd Ste 841
Chicago, IL 60604-3828
Phone
(312) 478-3999
NPI assigned
May 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Mr. Benjamin Fogel, LCSWNPI 1801200076
Title
Psychotherapist
Phone
(312) 478-3999

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

53 W Jackson Blvd Ste 841
Chicago, IL 60604-3828

Mailing address

53 W Jackson Blvd Ste 841
Chicago, IL 60604-3828
Phone (312) 478-3999

National Provider Directory

National Provider Directory

Locations

53 W Jackson Blvd
Ste 841
Chicago, IL 60604
Phone (312) 478-3999

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": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1841782489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 841",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043828",
            "telephone_number": "312-478-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 841",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043828",
            "telephone_number": "312-478-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN FOGEL, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "FOGEL",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "312-478-3999",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 May 30, 2018; 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.