MR. SAM ABRAHAM (NPI# 1063657260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063657260 |
| Entity Type | Individual |
| Full Name | MR. SAM ABRAHAM |
| Credential | LCSW |
| Practice Address |
3001 Green Bay Rd Bldg 131, Room 132 North Chicago IL 60064-3048 |
| Practice Telephone | 2246105833 |
| Mailing Telephone | 2246105833 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2012-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149-007189 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831349448 | Sam S Abraham | Internal Medicine | 3617 Shire Blvd, Ste 100, Richardson, TX 75082-2301 | 2008-09-19 |
| Street Address |
3001 GREEN BAY RD BLDG 131, ROOM 132 |
| City | NORTH CHICAGO |
| State | IL |
| Zip Code | 60064-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640290 | Shakira Ife Brown | Pharmacist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2005-06-24 |
| 1023628609 | Michelle Therese Dubil | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-08-07 |
| 1710504758 | Todd David Johnson | Student in an Organized Health Care Education/Training Program | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-25 |
| 1033735022 | Piotr Pawel Krolikowski | Internal Medicine | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-25 |
| 1457977555 | Cortney Muns | Clinical Nurse Specialist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-24 |
| 1962028241 | Samantha Lynn Tuminaro | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-22 |
| 1003432485 | Sara Elise Ringle | Registered Nurse | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-22 |
| 1609492065 | Kaylee Elizabeth Caniff | Pharmacist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-22 |
| 1821613761 | Ana R Tomlinson | Registered Nurse | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-16 |
| 1760007702 | William Joel Shumaker | Registered Nurse | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964084 | Corbin Paul Edmondson | Student in an Organized Health Care Education/Training Program | 3333 Greenbay Rd, North Chicago, IL 60064 | 2020-05-28 |
| 1881247534 | Aravind Reddy Kuchkuntla | Internal Medicine | 333 Greenbay Road, North Chicago, IL 60064 | 2019-07-22 |
| 1447721121 | Elise Teichman | Nurse Practitioner | 3001 Green Bat Rd, North Chicago, IL 60064 | 2018-12-06 |
| 1841711397 | Abhinav Kumar Nadipalli | Internal Medicine | 3333 Greenbay Road, North Chicago, IL 60064 | 2017-07-05 |
| 1376082503 | A Plus Untited Taxi Limosine | Taxi | 1721 Sheridan Rd, Suite C, North Chicago, IL 60064 | 2017-02-21 |
| 1003351503 | Jacob S Lewis, Dmd, P.C. | Dentist | 2233 Greenbay Rd, North Chicago, IL 60064 | 2016-12-20 |
| 1730635095 | Siva Rama Krishna Cheetirala | Internal Medicine | Rosalind Franklin University of Medicine and Sciences, 3333 Green Bay Road, North Chicago, IL 60064 | 2016-08-28 |
| 1669869764 | Benjamin Pittman | Military Health Care Provider | Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 | 2015-04-16 |
| 1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
| 1134521669 | Seyed Kamran Hejazi Kenari | Internal Medicine | 3001 Green Bay Rd Bldg 133, North Chicago, IL 60064 | 2014-09-16 |
| Find all providers in zip 60064 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376964320 | Alesia Bates | Social Worker | 3001 Green Bay Rd # 18b, North Chicago, IL 60064-3048 | 2013-12-18 |
| 1881622991 | Annamma T Varghese | Social Worker | 3001 Green Bay Rd., North Chicago, IL 60064 | 2006-06-29 |
| 1083641435 | Gregory Grace | Social Worker | 3001 N. Greenbay Rd, North Chicago, IL 60064-2318 | 2006-06-28 |
| 1023628609 | Michelle Therese Dubil | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-08-07 |
| 1962028241 | Samantha Lynn Tuminaro | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2020-06-22 |
| 1295373868 | Jamie Chapman | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2019-12-14 |
| 1104475599 | Jennifer Zuniga Hammond | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2019-09-09 |
| 1457919169 | Emily Nelson | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2019-05-29 |
| 1023578424 | Sherisa R Benson | Social Worker | 3001 Green Bay Rd, Bldg 131/rm63, North Chicago, IL 60064-3048 | 2019-03-21 |
| 1033673744 | Justin Padaoan | Social Worker | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2019-01-27 |
| Find all providers in NORTH CHICAGO | ||||
| City | NORTH CHICAGO |
| Zip Code | 60064 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.