Organization Active NPI

Chicago Social Service Systems

  • Addiction (Substance Use Disorder) Counselor
  • Chicago, IL
National Provider Identifier
1346639101
Registry record updated Jan 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
CHICAGO SOCIAL SERVICE SYSTEMS
Practice address
3512 N Pulaski Rd
Chicago, IL 60641-3943
Phone
(773) 218-6460
Fax
(773) 227-5721
NPI assigned
Jan 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2015

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

Authorized official

Name
Dr. Marius I. Dancea, PH.D, MSW
Title
Executive Director
Phone
(773) 218-6460

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X

Addresses

Primary practice location

3512 N Pulaski Rd
Chicago, IL 60641-3943

Mailing address

3512 N Pulaski Rd
Chicago, IL 60641-3943
Phone (773) 218-6460

National Provider Directory

National Provider Directory

Locations

3512 N Pulaski Rd
Chicago, IL 60641
Phone (773) 218-6460

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421452800000",
    "number": "1346639101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413943",
            "telephone_number": "773-218-6460",
            "fax_number": "773-227-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413943",
            "telephone_number": "773-218-6460",
            "fax_number": "773-227-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO SOCIAL SERVICE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-17",
        "status": "A",
        "authorized_official_last_name": "DANCEA",
        "authorized_official_first_name": "MARIUS",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-218-6460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, MSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 17, 2015; 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.