NPIMap

Organization Active NPI

Michael L. Stoller & Associates, LLC

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1023342565
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.012969 Issued in IL
Legal business name
MICHAEL L. STOLLER & ASSOCIATES, LLC
Practice address
633 Skokie Blvd
Suite 260
Northbrook, IL 60062-2858
Phone
(773) 934-8721
NPI assigned
Oct 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Mr. Michael L Stoller, MSWNPI 1851558688
Title
LCSW
Phone
(773) 934-8721

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 149.012969 IL Primary

Addresses

Primary practice location

633 Skokie Blvd
Suite 260
Northbrook, IL 60062-2858

Mailing address

208 Parkside LN
Oswego, IL 60543-8211
Phone (773) 934-8721

National Provider Directory

National Provider Directory

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": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1023342565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 PARKSIDE LN",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438211",
            "telephone_number": "773-934-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 SKOKIE BLVD",
            "address_2": "SUITE 260",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622858",
            "telephone_number": "773-934-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. STOLLER & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "STOLLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "773-934-8721",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.