Individual provider Active NPI

Wendy Guyer, LCSW

  • Clinical Social Worker
  • Skokie, IL
National Provider Identifier
1851424121
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-013079 Issued in IL
Practice address
5225 Old Orchard Rd
Skokie, IL 60077-4405
Phone
(773) 732-9416
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150-010693 IL
Clinical Social Worker 1041C0700X 149-013079 IL Primary

Addresses

Primary practice location

5225 Old Orchard Rd
Skokie, IL 60077-4405

Mailing address

4172 W Eddy St
Chicago, IL 60641-3929
Phone (773) 732-9416

Other practice location 1

5150 Golf Rd
Skokie, IL 60077-1283
Phone (847) 745-5421

Other practice location 2

216 W Jackson Blvd Ste 800
Chicago, IL 60606-6920
Phone (312) 804-3757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 8, 2024 through Feb 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150-010693ILMDSocial Worker
149-013079ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1851424121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4172 W EDDY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413929",
            "telephone_number": "773-732-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 OLD ORCHARD RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774405",
            "telephone_number": "773-732-9416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Golf Rd",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771283",
            "country_code": "US",
            "telephone_number": "847-745-5421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 W Jackson Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606066920",
            "country_code": "US",
            "telephone_number": "312-804-3757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUYER",
        "first_name": "WENDY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150-010693",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-013079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.