Organization Active NPI

Siegal Eli-Gers Therapy and Counseling LLC

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1336654219
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.012451 Issued in IL
Legal business name
SIEGAL ELI-GERS THERAPY AND COUNSELING LLC
Practice address
1609 Sherman Ave Ste 318
Evanston, IL 60201-3753
Phone
(847) 868-2140
Fax
(847) 201-2853
NPI assigned
Dec 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Authorized official

Name
Siegal Eli-Gers, LCSW
Title
Owner
Phone
(847) 868-2140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149.012451 IL Primary

Addresses

Primary practice location

1609 Sherman Ave Ste 318
Evanston, IL 60201-3753

Mailing address

1609 Sherman Ave Ste 318
Evanston, IL 60201-3753
Phone (847) 868-2140

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1336654219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 SHERMAN AVE STE 318",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013753",
            "telephone_number": "847-868-2140",
            "fax_number": "847-201-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 SHERMAN AVE STE 318",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013753",
            "telephone_number": "847-868-2140",
            "fax_number": "847-201-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIEGAL ELI-GERS THERAPY AND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "ELI-GERS",
        "authorized_official_first_name": "SIEGAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-868-2140",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.