Organization Active NPI

Marena Sabo, LCSW, PC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1114373628
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149008379 Issued in IL
Legal business name
MARENA SABO, LCSW, PC
Practice address
4636 N Ravenswood Ave
Suite 201
Chicago, IL 60640-4581
Phone
(773) 341-4263
Fax
(773) 360-8814
NPI assigned
May 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Ms. Marena M Sabo, LCSW
Title
President
Phone
(773) 341-4263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149008379 IL Primary

Addresses

Primary practice location

4636 N Ravenswood Ave
Suite 201
Chicago, IL 60640-4581

Mailing address

4636 N Ravenswood Ave
Suite 201
Chicago, IL 60640-4581
Phone (773) 341-4263

National Provider Directory

National Provider Directory

Locations

4636 N Ravenswood Ave
Ste 201
Chicago, IL 60640
Phone (312) 925-9423

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1114373628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 N RAVENSWOOD AVE",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404581",
            "telephone_number": "773-341-4263",
            "fax_number": "773-360-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4636 N RAVENSWOOD AVE",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404581",
            "telephone_number": "773-341-4263",
            "fax_number": "773-360-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARENA SABO, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "SABO",
        "authorized_official_first_name": "MARENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-341-4263",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.