Organization Active NPI

Collaborative Skills Therapy LLC

  • Clinical Social Worker
  • Oak Brook, IL
National Provider Identifier
1154199412
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COLLABORATIVE SKILLS THERAPY LLC
Practice address
1000 Jorie Blvd Ste 280
Oak Brook, IL 60523-2214
Phone
(708) 296-3845
NPI assigned
Dec 18, 2023
Last updated
Dec 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Kristina Stavroplos, LCSWNPI 1871961276
Title
Owner/Clinic Director
Phone
(708) 296-3845

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 Worker 1041C0700X Primary

Addresses

Primary practice location

1000 Jorie Blvd Ste 280
Oak Brook, IL 60523-2214

Mailing address

9197 North Rd Apt C
Palos Hills, IL 60465-2118
Phone (708) 296-3845

National Provider Directory

National Provider Directory

Locations

1000 Jorie Blvd
Ste 280
Oak Brook, IL 60523
Phone (630) 326-3688

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1154199412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9197 NORTH RD APT C",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652118",
            "telephone_number": "708-296-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JORIE BLVD STE 280",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232214",
            "telephone_number": "708-296-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE SKILLS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "STAVROPLOS",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "708-296-3845",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.