Active NPI
Ashley Bokum, MSW
- Clinical Social Worker
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 4840 W Byron St
Chicago, IL 60641-2712 - Phone
- (312) 237-0448
- NPI assigned
- Jun 7, 2018
- Last updated
- Feb 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
4840 W Byron St
Chicago, IL 60641-2712
Mailing address
5642 W Diversey Ave
Chicago, IL 60639-1353
Other practice location 1
5642 W Diversey Ave
Chicago, IL 60639-1353
Phone (708) 465-1293
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19550 Governors Hwy
Flossmoor, IL 60422-2125
Phone (708) 799-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yusuf Salah LLC | Current | Accepting new patients |
Locations
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
19550 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-8400
6321 Dempster St
Morton Grove, IL 60053
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1952894685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5642 W DIVERSEY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606391353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4840 W BYRON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606412712",
"telephone_number": "312-237-0448"
}
],
"practiceLocations": [
{
"address_1": "5642 W Diversey Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606391353",
"country_code": "US",
"telephone_number": "708-465-1293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOKUM",
"first_name": "ASHLEY",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2024-02-19",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"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 Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.