Individual provider Active NPI

Verline Gaddis

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1902214059
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
902 W 119TH St
Chicago, IL 60643-5214
Phone
(708) 567-5184
NPI assigned
Jul 31, 2014
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 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 IL Primary

Addresses

Primary practice location

902 W 119TH St
Chicago, IL 60643-5214

Mailing address

902 W 119TH St
Chicago, IL 60643-5214
Phone (708) 567-5184

Other practice location 1

1016 Heron Cir
Joliet, IL 60431-8888
Phone (773) 932-5963

Other practice location 2

15941 Harlem Ave # 160
Tinley Park, IL 60477-1609
Phone (708) 567-5184

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

Practice roles

OrganizationSpecialtyStatusNew patients
Just Injoy Counseling, PLLC. Clinical CurrentSince Mar 16, 2021 Accepting new patients

Locations

15941 Harlem Ave
Tinley Park, IL 60477
Phone (708) 476-1581

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1902214059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W 119TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606435214",
            "telephone_number": "708-567-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W 119TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606435214",
            "telephone_number": "708-567-5184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 Heron Cir",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604318888",
            "country_code": "US",
            "telephone_number": "773-932-5963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15941 Harlem Ave # 160",
            "address_purpose": "LOCATION",
            "city": "Tinley Park",
            "state": "IL",
            "postal_code": "604771609",
            "country_code": "US",
            "telephone_number": "708-567-5184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "VERLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 8, 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.