Family Stress Clinic

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149000523 Issued in IL

Legal business name

FAMILY STRESS CLINIC

Practice address

30 N Michigan Ave
#1729
Chicago, IL 60602-3402

Phone

(773) 935-3500

Fax

(773) 472-1022

NPI assigned

Jun 18, 2007

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

CLIFFORD BRICKMANAs reported in NPPES

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

Authorized official

Name

Dr. Clifford Brickman, DN AM DCSW LCSWNPI 1679659072

Title

Director Therapist

Phone

(773) 935-3500

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Clifford Brickman Other name

Tax ID family

Family Stress and Pain Clinic2 organizations share this tax ID, including this one

Part of

Family Stress and Pain Clinic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family Stress and Pain Clinic

  • Naprapath
  • Chicago, IL
  • NPI 1427254184
  NPD tax ID

Practitioners 1

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.

• Clifford Brickman, DN, DCSW, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1679659072
  NPD (past) Authorized official

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1053516203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N LAKE SHORE DR",
            "address_2": "#2215",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576232",
            "telephone_number": "773-935-3500",
            "fax_number": "773-472-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE",
            "address_2": "#1729",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023402",
            "telephone_number": "773-935-3500",
            "fax_number": "773-472-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY STRESS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLIFFORD BRICKMAN",
        "enumeration_date": "2007-06-18",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BRICKMAN",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "DIRECTOR THERAPIST",
        "authorized_official_telephone_number": "773-935-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DN AM DCSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149000523",
            "primary": true
        },
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "IL",
            "license": "181000295",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS-BLUESHIELD #",
            "identifier": "01617791",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clifford Brickman",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Family Primary and Urgent Physicians Inc
• Family Resource Center (Adoption Center of Illinois)
• Family Smiles P.C.
• Family Solutions of Illinois Inc
• Family Stress and Pain Clinic
• Family Tree Interventions LLC
• Family Wellness Counseling LLC
• Family Wound Care Physicians Inc
• Familydoc Urgent Care LLC
• Familydok Urgent Care, LLC (FamilyDok Urgent Care)

• 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 Jun 17, 2008; 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.