MR. MATTHEW EDWARD CERMAK (NPI# 1679958011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679958011 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW EDWARD CERMAK |
| Credential | MSW LSW CADC MISA-1 |
| Practice Address |
2631 Williamsburg Ave Suite 302 Geneva IL 60134-1107 |
| Mailing Address |
2631 Williamsburg Ave Suite 302 Geneva IL 60134 |
| Practice Telephone | 8155201181 |
| Mailing Telephone | 8155201181 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
32399 | IL | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 150015736 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | FEIN | 3884947 | 01 |
| Street Address |
2631 WILLIAMSBURG AVE SUITE 302 |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906462 | Tarun Mullick | Specialist | 2631 Williamsburg Ave, Suite 301, Geneva, IL 60134-1101 | 2005-07-18 |
| 1972860047 | Lee Advanced Breast Care LLC | Surgery | 2631 Williamsburg Ave, Suite 102, Geneva, IL 60134-1107 | 2012-04-13 |
| 1114164894 | Christine M. Anderson | Counselor | 2631 Williamsburg Ave, Suite 302, Geneva, IL 60134-1107 | 2009-01-16 |
| 1659580447 | Adam R Winckler | Dentist | 2631 Williamsburg Ave, Suite 201, Geneva, IL 60134 | 2007-05-21 |
| 1790702538 | Gastrointestinal Health Specialists,l.l.c. | Specialist | 2631 Williamsburg Ave, Suite 301, Geneva, IL 60134-1101 | 2006-07-17 |
| 1356340244 | Narha Lee | Surgery | 2631 Williamsburg Ave, Suite 202, Geneva, IL 60134-1107 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| 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 |
|---|---|---|---|---|
| 1720506165 | Amanda Jane Cusworth | Social Worker | 321 Franklin St Ste B, Geneva, IL 60134-2664 | 2017-09-06 |
| 1225487168 | Candice Beaton | Social Worker | 328 Chalmers St, Geneva, IL 60134-2805 | 2016-06-10 |
| 1568508604 | Sheila Marie Albers | Social Worker | 58 Milton St, Geneva, NY 14456 | 2007-01-29 |
| 1427136647 | Catholic Charities of The Dicese of Rochester | Social Worker | 94 Exchange St, Catholic Charities of The Finger Lakes, Geneva, NY 14456 | 2006-11-02 |
| 1457331563 | Bonnie L Eidens | Social Worker | 850 S Broadway, Geneva, OH 44041-9146 | 2006-01-17 |
| 1104431915 | Laura Kenward | Social Worker | 1120 Randall Ct, Geneva, IL 60134-3911 | 2020-09-09 |
| 1205441011 | Emma Baxter | Social Worker | 1120 Randall Ct, Geneva, IL 60134-3911 | 2020-09-09 |
| 1093364903 | Jessica Guzman | Social Worker | 1120 Randall Ct, Geneva, IL 60134-3911 | 2019-09-04 |
| 1033767918 | Courtney Hoeft Rozek | Social Worker | 1120 Randall Ct, Geneva, IL 60134-3911 | 2019-09-03 |
| 1821658808 | Katharine Collins | Social Worker | 101 Carter Rd, Geneva, NY 14456-1092 | 2019-06-20 |
| Find all providers in GENEVA | ||||
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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.