NPIMap

Organization Active NPI

Effective Living, LLC

  • Clinical Social Worker
  • Winfield, IL
National Provider Identifier
1023331899
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
02938294 Issued in IL
Legal business name
EFFECTIVE LIVING, LLC
Practice address
0S125 Church St
Suite # 3
Winfield, IL 60190-1242
Phone
(630) 710-8226
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
James Matthew Gilligan, LCSWNPI 1891018644
Title
Licensed Clinical Social Worker
Phone
(630) 710-8226

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 02938294 IL Primary

Addresses

Primary practice location

0S125 Church St
Suite # 3
Winfield, IL 60190-1242

Mailing address

1009 Marion Ave
Geneva, IL 60134-3249
Phone (630) 710-8226

National Provider Directory

National Provider Directory

Locations

0S125 Church St
Ste 3
Winfield, IL 60190
Phone (630) 710-8226

Practitioners & affiliated clinicians

Practitioners 1

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": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1023331899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 MARION AVE",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343249",
            "telephone_number": "630-710-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0S125 CHURCH ST",
            "address_2": "SUITE # 3",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901242",
            "telephone_number": "630-710-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFECTIVE LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "GILLIGAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "630-710-8226",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "02938294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.