Center for Recovery & Growth, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.015422 Issued in IL

Legal business name

CENTER FOR RECOVERY & GROWTH, LLC

Practice address

1770 W Berteau Ave Ste 302a
Chicago, IL 60613-1750

Phone

(773) 850-0526

NPI assigned

Sep 17, 2014

Last updated

Sep 16, 2020By 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

Barbara Herman Bayne, LCSWNPI 1528317443

Title

Licensed Clinical Social Worker

Phone

(312) 848-5626

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, and the practitioner matching its NPPES authorized official.

• Barbara Herman Bayne, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1528317443
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1134521453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 W GREGORY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401108",
            "telephone_number": "312-848-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 W BERTEAU AVE STE 302A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131750",
            "telephone_number": "773-850-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR RECOVERY & GROWTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "BAYNE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "HERMAN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "312-848-5626",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 16, 2020; 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.