NPIMap

Organization Active NPI

Mary K Horan LCSW, LLC

  • Clinical Social Worker
  • Oak Brook, IL
National Provider Identifier
1356626683
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149013501 Issued in IL
Legal business name
MARY K HORAN LCSW, LLC
Practice address
2625 Butterfield Rd
Suite 138S
Oak Brook, IL 60523-1234
Phone
(708) 508-9981
NPI assigned
Oct 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Authorized official

Name
Mary HoranNPI 1518252659
Title
LCSW
Phone
(708) 508-9981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149013501 IL Primary

Addresses

Primary practice location

2625 Butterfield Rd
Suite 138S
Oak Brook, IL 60523-1234

Mailing address

312 Wisconsin Ave
# 1N
Oak Park, IL 60302-3494
Phone (708) 508-9981

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1356626683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 WISCONSIN AVE",
            "address_2": "# 1N",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023494",
            "telephone_number": "708-508-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD",
            "address_2": "SUITE 138S",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231234",
            "telephone_number": "708-508-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY K HORAN LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "HORAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "708-508-9981"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.