The Finestra Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149013081 Issued in IL

Legal business name

THE FINESTRA CENTER LLC

Practice address

4569 North Ravenswood Avenue
Chicago, IL 60640

Phone

(773) 435-6740

NPI assigned

May 11, 2010

Last updated

Jun 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Justine Marie McBride, LCSWNPI 1477783249

Title

Clinician

Phone

(773) 396-4578

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justine Marie McBride, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1477783249
  Authorized official Same address or phone

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1023336492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4569 NORTH RAVENSWOOD AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "773-435-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4569 NORTH RAVENSWOOD AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "773-435-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FINESTRA CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "773-396-4578",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.