Organization Active NPI

Debbie Malitz Counseling and Consulting, LLC

  • Clinical Social Worker
  • Buffalo Grove, IL
National Provider Identifier
1124519533
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.011499 Issued in IL
Legal business name
DEBBIE MALITZ COUNSELING AND CONSULTING, LLC
Practice address
1217 McHenry Rd Ste 233a
Buffalo Grove, IL 60089-1379
Phone
(773) 859-1474
NPI assigned
May 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Authorized official

Name
Debbie Rose Malitz, LCSW
Title
Licensed Clinical Social Worker
Phone
(773) 859-1474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.011499 IL Primary

Addresses

Primary practice location

1217 McHenry Rd Ste 233a
Buffalo Grove, IL 60089-1379

Mailing address

617 Pheasant LN
Deerfield, IL 60015-3636
Phone (773) 859-1474

National Provider Directory

National Provider Directory

Locations

1217 McHenry Rd
Ste 233A
Buffalo Grove, IL 60089
Phone (224) 434-9176

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1124519533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 PHEASANT LN",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153636",
            "telephone_number": "773-859-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 MCHENRY RD STE 233A",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891379",
            "telephone_number": "773-859-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE MALITZ COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "MALITZ",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "773-859-1474",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.