Michael Vernon, LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149009584 Issued in IL

Legal business name

MICHAEL VERNON, LCSW LLC

Practice address

1300 W Belmont Ave
Suite 20B
Chicago, IL 60657-3200

Phone

(773) 802-6748

Fax

(773) 880-1355

NPI assigned

Nov 5, 2008

Last updated

Nov 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Vernon, LCSWNPI 1063514016

Title

Owner

Phone

(773) 802-6748

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Vernon, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1063514016
  NPD (past) Authorized official

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1922252931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE",
            "address_2": "SUITE 20B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200",
            "telephone_number": "773-802-6748",
            "fax_number": "773-880-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE",
            "address_2": "SUITE 20B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200",
            "telephone_number": "773-802-6748",
            "fax_number": "773-880-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL VERNON, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-802-6748",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Reese Medical Center Corp (Micheal Reese Hospital and Medical Center)
• Michael Stablein DDS, P.C.
• Michael Subtelny DMD, PLLC
• Michael V. Guadiz MPT, D.D.S. PC
• Michael Venice, D.N.
• Michael W Glavin LMFT & Associates LLC (Center for Relational Transformation)
• Alexis Michael, LCPC
• Danny Michael, MSW, LSW
• David Michael, MD
• David Ralph Michael, D.O.

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.