Active NPI
Caitlin E Lynch, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1184170615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149015673
- Practice address
- 500 N Michigan Ave
Suite 1042
Chicago, IL 60611-3777 - Phone
- (312) 879-9714
- NPI assigned
- Aug 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149015673 | IL | Primary |
Addresses
Primary practice location
500 N Michigan Ave
Suite 1042
Chicago, IL 60611-3777
Mailing address
1715 W Le Moyne St
1
Chicago, IL 60622-2134
Phone (312) 879-9714
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149015673 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Psychotherapy LLC | Clinical | Current | Accepting new patients |
Locations
77 W Washington St
Ste 1910
Chicago, IL 60602
Phone (312) 607-1263
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.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1356000954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1184170615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 W LE MOYNE ST",
"address_2": "1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222134",
"telephone_number": "312-879-9714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N MICHIGAN AVE",
"address_2": "SUITE 1042",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113777",
"telephone_number": "312-879-9714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "CAITLIN",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-25",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149015673",
"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 Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.