Organization Active NPI

MKM Therapy PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1285401513
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MKM THERAPY PLLC
Practice address
932 W Dakin St Apt 108
Chicago, IL 60613-4985
Phone
(847) 707-6873
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Meagan Mesirow, LCSWNPI 1285221002
Title
Owner and Therapist
Phone
(847) 707-6873

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

932 W Dakin St Apt 108
Chicago, IL 60613-4985

Mailing address

932 W Dakin St Apt 108
Chicago, IL 60613-4985

National Provider Directory

National Provider Directory

Locations

1300 W Belmont Ave
Ste 508
Chicago, IL 60657
Phone (815) 474-3380

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1285401513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 W DAKIN ST APT 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 W DAKIN ST APT 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134985",
            "telephone_number": "847-707-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKM THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "MESIROW",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_title_or_position": "OWNER AND THERAPIST",
        "authorized_official_telephone_number": "847-707-6873",
        "authorized_official_credential": "LCSW"
    },
    "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 Dec 26, 2023; 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.