Organization Active NPI

Peter Sternberg, L.C.S.W., P.C.

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1356554364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PETER STERNBERG, L.C.S.W., P.C.
Practice address
53 W Jackson Blvd
Room 924
Chicago, IL 60604-3606
Phone
(312) 922-6823
Fax
(847) 272-7474
NPI assigned
May 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Peter Sternberg, L.C.S.W.
Title
President
Phone
(312) 922-6823

Specialties & licenses 1

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

Addresses

Primary practice location

53 W Jackson Blvd
Room 924
Chicago, IL 60604-3606

Mailing address

2500 Woodlawn Rd
Northbrook, IL 60062-5949
Phone (312) 922-6823

National Provider Directory

National Provider Directory

Locations

53 W Jackson Blvd
Ste 924
Chicago, IL 60604
Phone (312) 409-4188

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356554364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WOODLAWN RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625949",
            "telephone_number": "312-922-6823",
            "fax_number": "847-272-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD",
            "address_2": "ROOM 924",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043606",
            "telephone_number": "312-922-6823",
            "fax_number": "847-272-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER STERNBERG, L.C.S.W., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STERNBERG",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-922-6823",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "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 Aug 22, 2020; 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.