Elissa Chapman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.014885 Issued in IL

Practice address

950 Skokie Blvd
Suite 305
Northbrook, IL 60062-4015

Phone

(630) 207-9106

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Inner Life Psychological Services LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1750702890
  NPD (past)

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1992156947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 IROQUOIS DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261033",
            "telephone_number": "630-207-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SKOKIE BLVD",
            "address_2": "SUITE 305",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624015",
            "telephone_number": "630-207-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "ELISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariette Champagne, LCSW, CADC
• Champion Chiropractic and Sports Rehab
• Song-Ling Chang, M.D.
• Alexandra Rae Channel
• Heather Marie Chapa, RBT-18-65561
• Jaclynn Suzanne Chapman, LCSW, CADC
• Lane Chapman, LPC
• Michael Chapman
• Lisa Reinicke Chapon, MS, CCC-SLP
• Diane Chaput

• Clinical Social Worker in Northbrook, IL
• Providers in Northbrook, 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 Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.