Organization Active NPI

Resilience Therapy Services

  • Clinical Social Worker
  • Berwyn, IL
National Provider Identifier
1184384505
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RESILIENCE THERAPY SERVICES
Practice address
6912 Cermak Rd
Berwyn, IL 60402-2244
Phone
(708) 780-7400
NPI assigned
Dec 27, 2021
Last updated
Dec 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Fernanda Maytorena-Unger, LCSWNPI 1518556778
Title
Therapist
Phone
(708) 567-7342

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

6912 Cermak Rd
Berwyn, IL 60402-2244

Mailing address

3547 Ridgeland Ave
Berwyn, IL 60402-3848
Phone (708) 567-7342

National Provider Directory

National Provider Directory

Locations

6912 Cermak Rd
Berwyn, IL 60402
Phone (708) 780-7400

Practitioners & affiliated clinicians

Practitioners 2

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": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1184384505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3547 RIDGELAND AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023848",
            "telephone_number": "708-567-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022244",
            "telephone_number": "708-780-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "MAYTORENA-UNGER",
        "authorized_official_first_name": "FERNANDA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "708-567-7342",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.