Welllife Behavioral Services, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

WELLLIFE BEHAVIORAL SERVICES, LLC

Doing business as

Linda McClerklin

Practice address

4137 Sauk Trail, Suite 100
Richton Park, IL 60471

Phone

(773) 355-1258

Fax

(708) 631-0164

NPI assigned

Oct 4, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Linda K. McClerklin, LCSW

Title

Owner

Phone

(773) 355-1258

Specialties & licenses 4

Addresses

Other names 1

• Linda McClerklin Doing business as

Locations

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1386119501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22801 NIAMH CT",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "604711480",
            "telephone_number": "773-355-1258",
            "fax_number": "708-631-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 SAUK TRAIL, SUITE 100",
            "city": "RICHTON PARK",
            "state": "IL",
            "postal_code": "60471",
            "telephone_number": "773-355-1258",
            "fax_number": "708-631-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLLIFE BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "MCCLERKLIN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-355-1258",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linda McClerklin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Linda McClerklin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Social Worker in Richton Park, IL
• Providers in Richton Park, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.