Practical Magic Healing

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PRACTICAL MAGIC HEALING

Practice address

4711 N Broadway St Ste 102
Chicago, IL 60640-4908

Phone

(773) 234-3212

NPI assigned

Feb 2, 2024

Organization subpart

No

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

Authorized official

Name

Sue Cook, LCSW

Title

Clinical Director

Phone

(773) 242-9427

Specialties & licenses 1

Addresses

Locations

Practitioners 7

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.

• Maritza Lara, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1447140223
  NPD
• Ashabi Owagboriaye

  • Counselor
  • Chicago, IL
  • NPI 1689433674

  Single Specialty

  NPD
• Patrick Prewit, LPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1447015490
  NPD
• Jason Price

  • Social Worker
  • Chicago, IL
  • NPI 1851281695
  NPD
• Cara Gramegna, LPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1235086364

  Single Specialty

  NPD (past)
• Finlay Sarafa McHale

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1194582965
  NPD (past)
• Allison J Vanderschrag

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1518647924
  NPD (past)

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1033972948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 N BROADWAY ST STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 N BROADWAY ST STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404908",
            "telephone_number": "773-234-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL MAGIC HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "773-242-9427",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarala P Prabhu, MD
• Sherefuddin Hasan Pracha
• Vivek Prachand
• Sariya Prachukthum, M.D.
• Practical Audacity LLC
• Gabriel Prada Aguilera, MD
• Carlos Enrique Prada, M.D.
• Pallavi Pradeep, MD
• Nicholas Basant Pradhan, MD
• Shashwati Pradhan

• 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 Feb 2, 2024; 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.