Neuroworks Therapeutic Interventions & Consulting

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEUROWORKS THERAPEUTIC INTERVENTIONS & CONSULTING

Practice address

5113 S Harper Ave Ste 2042
Chicago, IL 60615-4119

Phone

(773) 524-0042

NPI assigned

Mar 29, 2022

Last updated

Mar 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tashauna L Waters, LCSWNPI 1912580358

Title

Owner

Phone

(773) 524-0042

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Tashauna Waters

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1912580358
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1366182552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 S EAST END AVE APT 807N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606150105",
            "telephone_number": "773-524-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 S HARPER AVE STE 2042",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154119",
            "telephone_number": "773-524-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROWORKS THERAPEUTIC INTERVENTIONS & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "TASHAUNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-524-0042",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuropsychology Assessment and Wellness, LLC
• Neurosciences, LTD (Norman V. Kohn, MD, SC)
• Neurosport Chicago, LLC
• Neurosurgical Professionals, LTD.
• Neurowellness, LLC (Neurowellness)
• Erin Irene Neuschler, M.D.
• Leora Neusner
• Lauren Neustadt
• Alexander J Neuville, MD
• Kimberly Mae Neva, MS, RD, CSOWM, LDN

• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.