Ramalaxmi Shanmugavelayutham, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.020433 Issued in IL

Practice address

1707 N Halsted St
Chicago, IL 60614-5501

Phone

(312) 440-1200

Fax

(312) 698-6931

NPI assigned

Jul 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Madeina Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1467042283
  NPD Authorized official
• Inner-City Muslim Action Network

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1003244567

  Clinical

  NPD
• Inner-City Muslim Action Network

  dba IMAN Mobile Health Unit

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1073106621
  NPD

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1962998914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 N MALDEN ST APT 3B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606406230",
            "telephone_number": "630-908-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145501",
            "telephone_number": "312-440-1200",
            "fax_number": "312-698-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANMUGAVELAYUTHAM",
        "first_name": "RAMALAXMI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Jean Shanley, APN
• Thomas P Shanley, MD
• Kumaran Shanmugarajah, MBBS
• Harini Shanmugasundaram, RDN, LDN, MS
• Chandra Shanmugavel
• Anna Balabanova Shannahan, M.D.
• Julia Shanno
• Amber Shannon-Adams, MOT, OTR/L
• Aisha A Shannon, LCSW
• Caleb Shannon

• 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 Jul 2, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.