Benjamin Durchslag LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BENJAMIN DURCHSLAG LCSW PC

Practice address

837 S Racine Ave
Chicago, IL 60607-4123

Phone

(312) 860-9552

NPI assigned

May 24, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin David Durchslag, LCSW

Title

President

Phone

(312) 860-9552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ben Durchslag

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1407144421
  Medicare reassignment NPD

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1104665496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 S RACINE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074123",
            "telephone_number": "312-860-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 S RACINE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074123",
            "telephone_number": "312-860-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN DURCHSLAG LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "DURCHSLAG",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-860-9552",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elana Tori Benishay
• Maria Esther Benitez Gonzalez, MD
• Gabriel Benitez
• John Charles Benitez, PH.D.
• Patricia Benitez, MD
• Benjamin Fogel, LCSW, LLC
• Benjamin G. Lumicao, M.D., LLC
• Benjamin Okai LTD.
• Benjamin Samuel MD S C
• Mildred Eunice Benjamin-Smiddy, A.M. LCSW

• 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 May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.