Hope Behavior Practice

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.019648 Issued in IL

Legal business name

HOPE BEHAVIOR PRACTICE

Practice address

801 N Larkin Ave
Joliet, IL 60435-3441

Phone

(630) 863-0408

NPI assigned

Jan 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Audrey R Davis, MSW, LCSWNPI 1255844692

Title

Psychotherapist/Clinical SW

Phone

(630) 863-0408

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Audrey R. Davis, ED.D., MSW, LCSW

  • Clinical Social Worker
  • Bolingbrook, IL
  • NPI 1255844692
  NPD Authorized official

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515196800000",
    "number": "1033626932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BROOKWOOD LN E",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405517",
            "telephone_number": "630-863-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N LARKIN AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353441",
            "telephone_number": "630-863-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE BEHAVIOR PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/CLINICAL SW",
        "authorized_official_telephone_number": "630-863-0408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019648",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, School",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Air of Joliet,LTD.
• Home Dialysis Network Inc.
• Home Dialysis Services Holdings LLC
• Teryn Elizabeth Honeycutt, PA-C
• Hope and Divine Purpose Transitional Living Home, Inc
• Anne Horrigan, C.O.
• Tasha Dawn Horsley, N.P.
• Housing Authority of Joliet
• Keishante M Houston, LPN
• Julie Howard, PHARMD

• Clinical Social Worker in Joliet, IL
• Providers in Joliet, 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 Jan 6, 2018; 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.