Organization Active NPI

Nicole Rothman LCSW PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1205396785
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NICOLE ROTHMAN LCSW PLLC
Practice address
155 N Michigan Ave Ste 500a
Chicago, IL 60601-7511
Phone
(872) 256-0694
NPI assigned
Mar 21, 2019
Last updated
Mar 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Authorized official

Name
Nicole RothmanNPI 1689131146
Title
LCSW/Owner
Phone
(224) 522-2903

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

155 N Michigan Ave Ste 500a
Chicago, IL 60601-7511

Mailing address

155 N Michigan Ave Ste 500a
Chicago, IL 60601-7511

National Provider Directory

National Provider Directory

Locations

155 N Michigan Ave
Ste 500A
Chicago, IL 60601
Phone (872) 256-0694

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": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1205396785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 500A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 500A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017511",
            "telephone_number": "872-256-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE ROTHMAN LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "ROTHMAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "224-522-2903"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Mar 21, 2019; 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.