Organization Active NPI

Pierce Lake Partners, PLLC

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1174384796
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PIERCE LAKE PARTNERS, PLLC
Practice address
735 S Harvey Ave
Oak Park, IL 60304-1518
Phone
(630) 391-8408
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
Catharine Pierce, LCSWNPI 1891374047
Title
Therapist
Phone
(630) 391-8408

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

735 S Harvey Ave
Oak Park, IL 60304-1518

Mailing address

735 S Harvey Ave
Oak Park, IL 60304-1518

National Provider Directory

National Provider Directory

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": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1174384796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 S HARVEY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 S HARVEY AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041518",
            "telephone_number": "630-391-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE LAKE PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-20",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "CATHARINE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "630-391-8408",
        "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 Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.