Winding Vine Counseling Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WINDING VINE COUNSELING INC

Practice address

1938 E Lincoln Hwy Ste 207B
New Lenox, IL 60451-3810

Phone

(815) 314-4402

NPI assigned

Jun 5, 2024

Organization subpart

No

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

Authorized official

Name

Teresa D'Aversa, LCSWNPI 1114533890

Title

President

Phone

(815) 546-1152

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.

• Teresa D'Aversa, MSW, LCSW

  • Clinical Social Worker
  • New Lenox, IL
  • NPI 1114533890
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1144061854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W NORTH ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501836",
            "telephone_number": "815-546-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 E LINCOLN HWY STE 207B",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513810",
            "telephone_number": "815-314-4402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 W North St",
            "address_purpose": "LOCATION",
            "city": "Morris",
            "state": "IL",
            "postal_code": "604501836",
            "country_code": "US",
            "telephone_number": "815-546-1152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WINDING VINE COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "D'AVERSA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-546-1152",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William C. Guinta D.D.S. LTD.
• Denise Marie Williams
• Jeffrey J Williams, D.O.
• Savitria Nicole Williams, ATC, L.A.T
• Johnny Lee Williamson, MD
• Karen Marie Wingfield
• Jennifer Winkler
• Michael Wittmann
• Bethany Wolf
• Wolfe Behavioral Health P.C.

• Clinical Social Worker in New Lenox, IL
• Providers in New Lenox, 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 Jun 5, 2024; 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.