Individual provider Active NPI

Emma Weinstein, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1902448772
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022068 Issued in IL
Practice address
2601 W Haddon Ave Apt 3E
Chicago, IL 60622-3785
Phone
(513) 967-3811
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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 149.022068 IL Primary

Addresses

Primary practice location

2601 W Haddon Ave Apt 3E
Chicago, IL 60622-3785

Mailing address

2601 W Haddon Ave Apt 3E
Chicago, IL 60622-3785
Phone (513) 967-3811

Other practice location 1

Compass Health Center
2500 W Bradley Place #100
Chicago, IL 60618-6062
Phone (513) 967-3811

Other identifiers 1

IdentifierTypeStateIssuer
14693937OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.emmaweinstein.com Direct

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
149.022068ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1902448772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W HADDON AVE APT 3E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223785",
            "telephone_number": "513-967-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W HADDON AVE APT 3E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223785",
            "telephone_number": "513-967-3811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Compass Health Center",
            "address_2": "2500 W Bradley Place #100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606186062",
            "country_code": "US",
            "telephone_number": "513-967-3811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "EMMA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14693937",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.emmaweinstein.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2601 W Haddon Ave Apt 3E",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606223785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 25, 2020; 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.