Individual provider Active NPI

Christine I Miller, LCSW

  • Clinical Social Worker
  • Streamwood, IL
National Provider Identifier
1851750103
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.018075 Issued in IL
Practice address
1324 E Irving Park Rd
Streamwood, IL 60107-3202
Phone
(630) 540-3924
Fax
(630) 540-3927
NPI assigned
Feb 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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 149.018075 IL Primary

Addresses

Primary practice location

1324 E Irving Park Rd
Streamwood, IL 60107-3202

Mailing address

1324 E Irving Park Rd
Streamwood, IL 60107-3202
Phone (630) 540-3924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.018075ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Three Point Healthcare LLC Clinical CurrentSince Dec 15, 2019 Accepting new patients
Living Color Wellness LLC Clinical CurrentSince Jan 28, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 21, 2024 Accepting new patients
BHC Streamwood Hospital Inc. Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

1415 W 47th St
Lagrange Hlds, IL 60525
Phone (708) 352-5652

19805 S La Grange Rd
Mokena, IL 60448
Phone (708) 938-3378

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1851750103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 E IRVING PARK RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601073202",
            "telephone_number": "630-540-3924",
            "fax_number": "630-540-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 E IRVING PARK RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601073202",
            "telephone_number": "630-540-3924",
            "fax_number": "630-540-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHRISTINE",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streamwood, IL

Sources for this page

Verify at the official NPI Registry.