Individual provider Active NPI

Janice Harriet Litvene, A.M.

  • Clinical Social Worker
  • Aurora, IL
National Provider Identifier
1891721072
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.002469 Issued in IL
Practice address
412 N Lake St
Aurora, IL 60506-4106
Phone
(773) 383-9795
Fax
(630) 551-0988
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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 149.002469 IL Primary

Addresses

Primary practice location

412 N Lake St
Aurora, IL 60506-4106

Mailing address

606 Pearces FRD
Oswego, IL 60543-7316
Phone (773) 383-9795

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

State licenses

LicenseStateTypeSpecialty
149.002469ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1891721072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 PEARCES FRD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437316",
            "telephone_number": "773-383-9795",
            "fax_number": "630-551-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N LAKE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064106",
            "telephone_number": "773-383-9795",
            "fax_number": "630-551-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITVENE",
        "first_name": "JANICE",
        "middle_name": "HARRIET",
        "credential": "A.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.002469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.