Individual provider Active NPI

Erik Alexander Giles

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1891438925
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.028104 Issued in IL
Practice address
3411 W Diversey Ave Ofc 14
Chicago, IL 60647-1245
Phone
(312) 508-8748
NPI assigned
Apr 17, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.028104 IL Primary

Addresses

Primary practice location

3411 W Diversey Ave Ofc 14
Chicago, IL 60647-1245

Mailing address

2966 N Oakley Ave
Chicago, IL 60618-8010
Phone (312) 312-2707

Other identifiers 1

IdentifierTypeStateIssuer
1144034356OtherILMODERN THERAPY ALLIANCE, LLC

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
149.028104ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Therapy Alliance, LLC Clinical CurrentSince Jun 15, 2025 Accepting new patients
Resilience Rising, PLLC Clinical CurrentSince Apr 24, 2022 Accepting new patients

Locations

3411 W Diversey Ave
Ofc 14
Chicago, IL 60647
Phone (224) 534-0331

Organizations & group practices 2

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": "1650153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1891438925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2966 N OAKLEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188010",
            "telephone_number": "312-312-2707",
            "fax_number": "312-280-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 W DIVERSEY AVE OFC 14",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471245",
            "telephone_number": "312-508-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILES",
        "first_name": "ERIK",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-17",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.028104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MODERN THERAPY ALLIANCE, LLC",
            "identifier": "1144034356",
            "state": "IL"
        }
    ],
    "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 Jun 13, 2025; 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.