Active NPI
Faye Baulch Breining, AM
- Social Worker
- Chicago, IL
National Provider Identifier
1174357198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.118059
- Practice address
- 1525 E 53Rd St Ste 933
Chicago, IL 60615-4572 - Phone
- (773) 219-0605
- NPI assigned
- Aug 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.118059 | IL | Primary |
Addresses
Primary practice location
1525 E 53Rd St Ste 933
Chicago, IL 60615-4572
Mailing address
1128 E 54TH PL # 1
Chicago, IL 60615-5110
Phone (615) 934-3653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.118059 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Therapy Chicago, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1174357198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 E 54TH PL # 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606155110",
"telephone_number": "615-934-3653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 E 53RD ST STE 933",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606154572",
"telephone_number": "773-219-0605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREINING",
"first_name": "FAYE",
"middle_name": "BAULCH",
"credential": "AM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-30",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.118059",
"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 Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.