MATHEW DIEDRICH (NPI# 1457906521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457906521 |
| Entity Type | Individual |
| Full Name | MATHEW DIEDRICH |
| Credential | MSW |
| Practice Address |
4809 N Ravenswood Ave Unit 227 Chicago IL 60640-4417 |
| Mailing Address |
6345 N Wayne Ave Apt 3s Chicago IL 60660-1610 |
| Practice Telephone | 7738921933 |
| Practice Fax Number | 7738965385 |
| Mailing Telephone | 3135988483 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3717 N Ravenswood Ave Ste 239, Chicago, IL 606134260 | 7738921933 | 7738695385 |
| Street Address |
4809 N RAVENSWOOD AVE UNIT 227 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-4417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619453610 | Head Heart Therapy | Substance Abuse Rehabilitation Facility | 4809 N Ravenswood Ave Unit 227, Chicago, IL 60640-4417 | 2018-07-13 |
| 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.