Individual provider Active NPI

Sasha P Von Varga, L.C.S.W.

  • Clinical Social Worker
  • Northfield, IL
National Provider Identifier
1881605004
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-008505 Issued in IL
Practice address
466 Central Ave
Suite #27
Northfield, IL 60093-3041
Phone
(847) 446-7924
Fax
(847) 446-7924
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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 149-008505 IL Primary

Addresses

Primary practice location

466 Central Ave
Suite #27
Northfield, IL 60093-3041

Mailing address

466 Central Ave
Suite #27
Northfield, IL 60093-3041
Phone (847) 446-7924

Other identifiers 1

IdentifierTypeStateIssuer
149-008505OtherILSTATE LICENSE

Other names 1

  • Mr. Sasha P Von Kibedi Varga Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149-008505ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborators, Inc. Clinical Past Accepting new patients

Organizations & group practices 1

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1881605004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 CENTRAL AVE",
            "address_2": "SUITE #27",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933041",
            "telephone_number": "847-446-7924",
            "fax_number": "847-446-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 CENTRAL AVE",
            "address_2": "SUITE #27",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933041",
            "telephone_number": "847-446-7924",
            "fax_number": "847-446-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON VARGA",
        "first_name": "SASHA",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-008505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "149-008505",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "VON KIBEDI VARGA",
            "middle_name": "P",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.