MELISSA GUSTAFSON (NPI# 1124574652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124574652 |
| Entity Type | Individual |
| Full Name | MELISSA GUSTAFSON |
| Credential | LSW |
| Practice Address |
5517 N Kenmore Ave Chicago IL 60640-1515 |
| Practice Telephone | 7732757962 |
| Mailing Telephone | 7732757962 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 1932318920 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| 1316505670 | Melissa Jean Gustafson | Registered Nurse | 8700 N Green Hills Rd, Kansas City, MO 64154-1910 | 2019-06-03 |
| 1891176434 | Melissa Gustafson | Nurse Practitioner | 700 Welch Rd, Suite 301, Palo Alto, CA 94304-1502 | 2015-06-09 |
| 1508935180 | Melissa Marks Gustafson | Dentist | 3010 Baucom Rd, Ste 200, Charlotte, NC 28269-0983 | 2006-11-07 |
| Street Address |
5517 N KENMORE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932318920 | Lutheran Social Services of Illinois | Substance Abuse Rehabilitation Facility | 5517 N Kenmore Ave, Chicago, IL 60640-1515 | 2007-05-22 |
| 1861980435 | Stevnika Russell | Licensed Practical Nurse | 5517 N Kenmore Ave, Chicago, IL 60640-1515 | 2018-04-28 |
| 1194213009 | Kathy Sanders | Registered Nurse | 5517 N Kenmore Ave, Chicago, IL 60640-1515 | 2018-04-26 |
| 1770071797 | Erica Danielle Lindsey | Licensed Practical Nurse | 5517 N Kenmore Ave, Chicago, IL 60640-1515 | 2018-04-25 |
| 1982065215 | Lenita Miller | Registered Nurse | 5517 N Kenmore Ave, Chicago, IL 60640-1515 | 2016-03-15 |
| 1215398680 | Deana Zamora | Licensed Practical Nurse | 5517 N Kenmore Ave, Chicago, IL 60640-1515 | 2016-03-14 |
| 1558721621 | Suzzette Brown | Registered Nurse | 5517 N Kenmore Ave, Chicago, IL 60640-1515 | 2016-03-02 |
| 1891155255 | Rigoberto Acosta | Licensed Practical Nurse | 5517 N Kenmore Ave, Chicago, IL 60640-1515 | 2016-02-28 |
| 1295195618 | Kristen Ward | Registered Nurse | 5517 N Kenmore Ave, Chicago, IL 60640-1515 | 2016-02-26 |
| 1841650454 | Jonathan Hilliard | Licensed Practical Nurse | 5517 N Kenmore Ave, Chicago, IL 60640-1515 | 2016-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595325 | Veronica Lozano | Social Worker | 1 E Erie St Ste 525-4066, Chicago, IL 60611-2740 | 2020-10-16 |
| 1609483346 | Rene M Salvatore | Social Worker | 3434 N Bell Ave Apt 1n, Chicago, IL 60618-6002 | 2020-09-27 |
| 1851908594 | Madison Skerritt | Social Worker | 1333 N Campbell Ave Apt 6, Chicago, IL 60622-2482 | 2020-09-27 |
| 1093328486 | Marlena Christine Gebhard | Social Worker | 3704 N Wayne Ave Apt 3, Chicago, IL 60613-7163 | 2020-08-26 |
| 1740893486 | Jennifer Calderon | Social Worker | 4732 N Austin Ave Unit A, Chicago, IL 60630-3785 | 2020-08-24 |
| 1235741851 | Ellen King Rosendale | Social Worker | 1236 E Madison Park Apt 6e, Chicago, IL 60615-2955 | 2020-08-17 |
| 1023620655 | Jason Hoffmann | Social Worker | 1525 W Hollywood Ave Apt 2, Chicago, IL 60660-4508 | 2020-08-17 |
| 1881206498 | Antoinette Lynn Senjanovich | Social Worker | 5750 N Kenmore Ave Apt 207, Chicago, IL 60660-4529 | 2020-08-17 |
| 1912516386 | Nina Limbeck | Social Worker | 3830 W Cornelia Ave, Chicago, IL 60618-5004 | 2020-07-30 |
| 1952926826 | Adie Tuohey | Social Worker | 3214 W Cortez St Apt 2e, Chicago, IL 60651-4062 | 2020-06-16 |
| Find all providers in CHICAGO | ||||
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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.