Active NPI
Norris Wendell Teague, LSW
- Social Worker
- Chicago, IL
National Provider Identifier
1922438662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.107571
- Practice address
- 10540 S Western Ave Ste 402
Chicago, IL 60643-2529 - Phone
- (773) 509-5055
- Fax
- (773) 509-5010
- NPI assigned
- Nov 15, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 150.107571 | IL | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 150.107571 | IL | |
| Mental Health Counselor | 101YM0800X | 150.107571 | IL | |
| Social Worker | 104100000X | 150.107571 | IL | Primary |
Addresses
Primary practice location
10540 S Western Ave Ste 402
Chicago, IL 60643-2529
Mailing address
10540 S Western Ave Ste 402
Chicago, IL 60643-2529
Phone (773) 509-5055
Other practice location 1
1054 W Garfield Blvd
Chicago, IL 60609-6049
Phone (773) 704-3089
Other practice location 2
820 N Damen Ave
Chicago, IL 60622-4906
Phone (312) 569-5554
Other practice location 3
1448 E 75th St
Chicago, IL 60619-2125
Phone (773) 509-5055 ext. 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150.107571 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1922438662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10540 S WESTERN AVE STE 402",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606432529",
"telephone_number": "773-509-5055",
"fax_number": "773-509-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10540 S WESTERN AVE STE 402",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606432529",
"telephone_number": "773-509-5055",
"fax_number": "773-509-5010"
}
],
"practiceLocations": [
{
"address_1": "1054 W Garfield Blvd",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606096049",
"country_code": "US",
"telephone_number": "773-704-3089",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 N Damen Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606224906",
"country_code": "US",
"telephone_number": "312-569-5554",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1448 E 75th St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606192125",
"country_code": "US",
"telephone_number": "773-509-5055 x1",
"fax_number": "773-509-5010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEAGUE",
"first_name": "NORRIS",
"middle_name": "WENDELL",
"name_prefix": "Mr.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-15",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "150.107571",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "150.107571",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "150.107571",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.107571",
"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 Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.