Organization Active NPI

Erica Stone Psychotherapy Inc.

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1124647698
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ERICA STONE PSYCHOTHERAPY INC.
Practice address
4054 N Lincoln Ave Ste 2
Chicago, IL 60618-3144
Phone
(847) 284-0529
NPI assigned
Apr 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Erica StoneNPI 1134510720
Title
Owner
Phone
(847) 284-0529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4054 N Lincoln Ave Ste 2
Chicago, IL 60618-3144

Mailing address

2640 N Fairfield Ave # 1
Chicago, IL 60647-1826
Phone (847) 284-0529

National Provider Directory

National Provider Directory

Locations

4054 N Lincoln Ave
Ste 2
Chicago, IL 60618
Phone (309) 287-7216

123 W Madison St
Ste 2150
Chicago, IL 60602
Phone (312) 285-0279

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": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1124647698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 N FAIRFIELD AVE # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471826",
            "telephone_number": "847-284-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 N LINCOLN AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183144",
            "telephone_number": "847-284-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA STONE PSYCHOTHERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-284-0529"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Aug 18, 2022; 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.