NPIMap

Organization Active NPI

Common Threads Counseling Center LLC

  • Clinical Social Worker
  • Morton Grove, IL
National Provider Identifier
1043509482
Registry record updated Apr 25, 2011
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Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149014389 Issued in IL
Legal business name
COMMON THREADS COUNSELING CENTER LLC
Practice address
109 Narragansett CT
Unit 12
Morton Grove, IL 60053-2883
Phone
(773) 217-9007
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Mrs. Stephanie L Zimmermann, LCSW
Title
Owner
Phone
(773) 217-9007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149014389 IL Primary

Addresses

Primary practice location

109 Narragansett CT
Unit 12
Morton Grove, IL 60053-2883

Mailing address

109 Narragansett CT
Unit 12
Morton Grove, IL 60053-2883
Phone (773) 217-9007

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1043509482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 NARRAGANSETT CT",
            "address_2": "UNIT 12",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532883",
            "telephone_number": "773-217-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NARRAGANSETT CT",
            "address_2": "UNIT 12",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532883",
            "telephone_number": "773-217-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON THREADS COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMANN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-217-9007",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.