NPIMap

Organization Active NPI

Family Resilience Group, LLC

  • Clinical Social Worker
  • Arlington Heights, IL
National Provider Identifier
1316178387
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149005413 Issued in IL
Legal business name
FAMILY RESILIENCE GROUP, LLC
Practice address
3255 N Arlington Heights Rd
Suite 502
Arlington Heights, IL 60004-1586
Phone
(847) 398-0499
NPI assigned
Aug 7, 2009
Last updated
Apr 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Kristen Marzolf, LCSWNPI 1154491942
Title
Director
Phone
(847) 398-0499

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 149005413 IL Primary

Addresses

Primary practice location

3255 N Arlington Heights Rd
Suite 502
Arlington Heights, IL 60004-1586

Mailing address

3255 N Arlington Heights Rd
Suite 502
Arlington Heights, IL 60004-1586
Phone (847) 398-0499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180425000434 IL Part B Supplier - Clinic/Group Practice 8426311515 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1316178387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 502",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041586",
            "telephone_number": "847-398-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 502",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041586",
            "telephone_number": "847-398-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESILIENCE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "MARZOLF",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-398-0499",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149005413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.