Theodore Harris, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149016113 Issued in IL

Legal business name

THEODORE HARRIS, LCSW, LLC

Practice address

53 W Jackson Blvd
Suite 404
Chicago, IL 60604-3606

Phone

(312) 576-5760

NPI assigned

Feb 10, 2014

Organization subpart

No

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

Authorized official

Name

Theodore R Harris, L.C.S.W.

Title

Owner

Phone

(312) 576-5760

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1144644261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 ASBURY AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021637",
            "telephone_number": "773-680-1534",
            "fax_number": "312-674-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD",
            "address_2": "SUITE 404",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043606",
            "telephone_number": "312-576-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE HARRIS, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-576-5760",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryn Thelen, LPC
• Sarah Jeanette Thelen, MS, RD, LDN
• Jill M Thennes, CCCSLPL
• Spyridon P Theodorakis, M.D.
• Theodore Handrup MD LTD
• Theodore M. Siegel D.D.S., P.C.
• Theodore Polizos DPM Comprehensive Podiatric Medical Services, LTD.
• Theodore S. Wright, MD
• Irene T. Theodore, DDS
• Constantine Theodoropoulos, D.D.S.

• 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 Oct 13, 2016; 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.