Individual provider Active NPI

Pamela Margules, MA, LCSW

  • Clinical Social Worker
  • Wilmette, IL
National Provider Identifier
1922124874
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149001954 Issued in IL
Practice address
1215 Washington Ave Ste 301
Wilmette, IL 60091-2574
Phone
(847) 989-4155
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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 149001954 IL Primary

Addresses

Primary practice location

1215 Washington Ave Ste 301
Wilmette, IL 60091-2574

Mailing address

1215 Washington Ave Ste 301
Wilmette, IL 60091-2574
Phone (847) 989-4155

Other names 1

  • Pamela Margules Mark 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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
149001954ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1922124874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 WASHINGTON AVE STE 301",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912574",
            "telephone_number": "847-989-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 WASHINGTON AVE STE 301",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912574",
            "telephone_number": "847-989-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGULES",
        "first_name": "PAMELA",
        "credential": "MA, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149001954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "MARK",
            "middle_name": "MARGULES",
            "credential": "MA LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.