Organization Active NPI

Integrity Clinical Consulting & Training LLC

  • Clinical Social Worker
  • Homewood, IL
National Provider Identifier
1043612443
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-013839 Issued in IL
Legal business name
INTEGRITY CLINICAL CONSULTING & TRAINING LLC
Practice address
900 Ridge Rd
Suite 1SW
Homewood, IL 60430-1933
Phone
(708) 794-6511
Fax
(708) 249-0022
NPI assigned
Sep 17, 2014
Last updated
Sep 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Krista G Woods, LCSWNPI 1730369208
Title
President
Phone
(708) 794-6511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149-013839 IL Primary

Addresses

Primary practice location

900 Ridge Rd
Suite 1SW
Homewood, IL 60430-1933

Mailing address

900 Ridge Rd
Suite 1SW
Homewood, IL 60430-1933
Phone (708) 794-6511

Other identifiers 1

IdentifierTypeStateIssuer
1730368208OtherILINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

900 Ridge Rd
Ste 1SW
Homewood, IL 60430
Phone (708) 794-6511

4440 Lincoln Hwy
Ste 100
Matteson, IL 60443
Phone (708) 481-5600

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1043612443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RIDGE RD",
            "address_2": "SUITE 1SW",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301933",
            "telephone_number": "708-794-6511",
            "fax_number": "708-249-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RIDGE RD",
            "address_2": "SUITE 1SW",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301933",
            "telephone_number": "708-794-6511",
            "fax_number": "708-249-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY CLINICAL CONSULTING & TRAINING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-794-6511",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-013839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1730368208",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.