Active NPI
Carllie Meeks
- Social Worker
- Chicago, IL
National Provider Identifier
1992427728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150107663
- Practice address
- 3139 N Lincoln Ave Ste 227
Chicago, IL 60657-3173 - Phone
- (402) 598-5307
- NPI assigned
- Sep 19, 2022
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150107663 | IL | Primary |
Addresses
Primary practice location
3139 N Lincoln Ave Ste 227
Chicago, IL 60657-3173
Mailing address
3139 N Lincoln Ave Ste 227
Chicago, IL 60657-3173
Phone (402) 598-5307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150107663 | Other | IL | LSW LICENCE NUMBER |
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 |
|---|---|---|---|
| 150107663 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1992427728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3139 N LINCOLN AVE STE 227",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573173",
"telephone_number": "402-598-5307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3139 N LINCOLN AVE STE 227",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606573173",
"telephone_number": "402-598-5307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEKS",
"first_name": "CARLLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150107663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LSW LICENCE NUMBER",
"identifier": "150107663",
"state": "IL"
}
],
"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 Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.