Organization Active NPI

Chicago Therapy & Wellness PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1013683895
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHICAGO THERAPY & WELLNESS PLLC
Practice address
4401 N Racine Ave Unit 3
Chicago, IL 60640-5612
Phone
(815) 474-3380
NPI assigned
Aug 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott Robinowitz, LCSWNPI 1770041618
Title
Provider Owner
Phone
(815) 474-3380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4401 N Racine Ave Unit 3
Chicago, IL 60640-5612

Mailing address

4401 N Racine Ave Unit 3
Chicago, IL 60640-5612
Phone (815) 474-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260417000791 IL Part B Supplier - Clinic/Group Practice 3779059613 Receives reassigned benefits from 1 practitioner
Practice locations: Flossmoor, IL

National Provider Directory

National Provider Directory

Locations

1925 N Clybourn Ave
Ste 401
Chicago, IL 60614
Phone (708) 628-7579

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1013683895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 N RACINE AVE UNIT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405612",
            "telephone_number": "815-474-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 N RACINE AVE UNIT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405612",
            "telephone_number": "815-474-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO THERAPY & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "ROBINOWITZ",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PROVIDER OWNER",
        "authorized_official_telephone_number": "815-474-3380",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.