Contemporary Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CONTEMPORARY WELLNESS, LLC

Practice address

4300 Commerce Court
Suite 300-9
Lisle, IL 60532

Phone

(773) 739-0992

Fax

(773) 733-4119

NPI assigned

Mar 25, 2020

Organization subpart

No

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

Authorized official

Name

Grazyna G Petersen, LCSW, CADCNPI 1457814360

Title

Founder/Clinical Social Worker

Phone

(773) 739-0992

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Grazyna Gabriela Petersen, LCSW, CADC

  • Clinical Social Worker
  • Lisle, IL
  • NPI 1457814360

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD Authorized official
• B. Dawn Spahr, L.C.P.C

  • Professional Counselor
  • Yorkville, IL
  • NPI 1437278660
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1326675760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 GOLDENROD DR",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605103201",
            "telephone_number": "773-739-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 COMMERCE COURT",
            "address_2": "SUITE 300-9",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "60532",
            "telephone_number": "773-739-0992",
            "fax_number": "773-733-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "GRAZYNA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "FOUNDER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "773-739-0992",
        "authorized_official_credential": "LCSW, CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Colley, LCPC
• Lisa M Collins, LCSW
• Compassion Care Staffing LLC
• Emma Cone
• Jamie Lynn Connelly, LSW
• Cook County Providers Network Inc.
• Kianna Cook, RD
• Sheila Corbett
• Corehub Medical LLC
• Corewise LLC

• Clinical Social Worker in Lisle, IL
• Providers in Lisle, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.