Active NPI
Griselda De Luna
- Social Worker
- Chicago, IL
National Provider Identifier
1992573000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150112562
- Practice address
- 2600 S Michigan Ave Ste 104
Chicago, IL 60616-2857 - Phone
- (312) 203-2988
- NPI assigned
- Dec 18, 2023
- 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 | 150112562 | IL | Primary |
Addresses
Primary practice location
2600 S Michigan Ave Ste 104
Chicago, IL 60616-2857
Mailing address
4111 W Kamerling Ave
Chicago, IL 60651-1839
Phone (773) 459-0417
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 |
|---|---|---|---|
| 150112562 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1992573000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 W KAMERLING AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606511839",
"telephone_number": "773-459-0417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S MICHIGAN AVE STE 104",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162857",
"telephone_number": "312-203-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LUNA",
"first_name": "GRISELDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-18",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150112562",
"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 Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.