Individual provider Active NPI

Heain Chung, LCSW

  • Clinical Social Worker
  • Glenview, IL
National Provider Identifier
1871884080
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149016832 Issued in IL
Practice address
2700 Patriot Blvd
250
Glenview, IL 60026-8021
Phone
(312) 756-0468
Fax
(847) 324-3299
NPI assigned
Apr 21, 2011
Last updated
May 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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 149016832 IL Primary

Addresses

Primary practice location

2700 Patriot Blvd
250
Glenview, IL 60026-8021

Mailing address

5726 N Kenmore Ave
Apt# 3S
Chicago, IL 60660-4954
Phone (412) 216-8195

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1871884080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 N KENMORE AVE",
            "address_2": "APT# 3S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604954",
            "telephone_number": "412-216-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 PATRIOT BLVD",
            "address_2": "250",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268021",
            "telephone_number": "312-756-0468",
            "fax_number": "847-324-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "HEAIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.