Active NPI
Altheria Denise Ford, LSW
- Social Worker
- Hines, IL
National Provider Identifier
1972771608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 5000 South 5TH Avenue
BLDG 200 Rm1565
Hines, IL 60141 - Phone
- (708) 202-8387
- NPI assigned
- Feb 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | IL | Primary |
Addresses
Primary practice location
5000 South 5TH Avenue
BLDG 200 Rm1565
Hines, IL 60141
Mailing address
4800 S Lakeshore Drive
Unit 2010-South
Chicago, IL 60615
Phone (773) 285-2985
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 |
|---|---|---|---|
| 150.011248 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1972771608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 S LAKESHORE DRIVE",
"address_2": "UNIT 2010-SOUTH",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60615",
"telephone_number": "773-285-2985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 SOUTH 5TH AVENUE",
"address_2": "BLDG 200 RM1565",
"city": "HINES",
"state": "IL",
"postal_code": "60141",
"telephone_number": "708-202-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "ALTHERIA",
"middle_name": "DENISE",
"name_prefix": "Miss",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.