Eclectic Approaches to Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015046 Issued in IL

Legal business name

ECLECTIC APPROACHES TO THERAPY, LLC

Practice address

6601 North Ave
Oak Park, IL 60302-1005

Phone

(773) 739-3705

NPI assigned

Apr 18, 2017

Last updated

Apr 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Micaela Bates, LCSW

Title

Therapist

Phone

(773) 739-3705

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1124552922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021005",
            "telephone_number": "773-739-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLECTIC APPROACHES TO THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "MICAELA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "773-739-3705",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327768008001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dynamic Lynks, Inc.
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• Maia Marie Easley, LMFT
• Eastlake Chiropractic & Healthcare Center
• Jacquelyn Eckholm, L.AC.
• Kathleen Virginia Egan, LCSW
• Kelsey Egger, PT, DPT
• Kathleen Elizabeth Eggert, LPC
• Sophia Eidson
• Eileen Brann Speech Pathology Services

• Clinical Social Worker in Oak Park, IL
• Providers in Oak Park, 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 Apr 18, 2017; 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.