Individual provider Active NPI

Anthony David May, LSCW CADC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1942714118
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.019691 Issued in IL
Practice address
4633 N Western Ave Ste 207
Chicago, IL 60625-2181
Phone
(773) 330-2135
Fax
(773) 389-2387
NPI assigned
Nov 27, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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 149.019691 IL Primary

Addresses

Primary practice location

4633 N Western Ave Ste 207
Chicago, IL 60625-2181

Mailing address

4711 N Talman Ave Apt 3
Chicago, IL 60625-7022
Phone (773) 330-2135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231129002451 IL Practitioner - Clinical Social Worker 3274981303 Practice locations: Chicago, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.019691ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1942714118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 N TALMAN AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257022",
            "telephone_number": "773-330-2135",
            "fax_number": "773-389-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 N WESTERN AVE STE 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252181",
            "telephone_number": "773-330-2135",
            "fax_number": "773-389-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "ANTHONY",
        "middle_name": "DAVID",
        "credential": "LSCW CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-27",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.