NPIMap

Organization Active NPI

Sherry Patti, LLC

  • Clinical Social Worker
  • Plainfield, IL
National Provider Identifier
1093006330
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149010045 Issued in IL
Legal business name
SHERRY PATTI, LLC
Practice address
24012 W Renwick Rd Unit 210a
Plainfield, IL 60544-8731
Phone
(815) 676-4688
Fax
(815) 676-4498
NPI assigned
Apr 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Mrs. Sherry Patti, L.C.S.W.
Title
Owner
Phone
(773) 771-5210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149010045 IL Primary

Addresses

Primary practice location

24012 W Renwick Rd Unit 210a
Plainfield, IL 60544-8731

Mailing address

24012 W Renwick Rd Unit 210a
Plainfield, IL 60544-8731
Phone (815) 676-4688

National Provider Directory

National Provider Directory

Locations

24012 W Renwick Rd
Unit 210A
Plainfield, IL 60544
Phone (815) 676-4688

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1093006330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24012 W RENWICK RD UNIT 210A",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448731",
            "telephone_number": "815-676-4688",
            "fax_number": "815-676-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 W RENWICK RD UNIT 210A",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448731",
            "telephone_number": "815-676-4688",
            "fax_number": "815-676-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY PATTI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "PATTI",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-771-5210",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.