Northwest Treatment Associates Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NORTHWEST TREATMENT ASSOCIATES INC

Practice address

645 McHenry Ave
Woodstock, IL 60098-2922

Phone

(815) 337-1234

NPI assigned

Sep 18, 2020

Last updated

Sep 18, 2020By 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

Georgia Ellen Fleming

Title

Office Manager

Phone

(847) 608-8570

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1386250991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 MCHENRY AVE",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600982922",
            "telephone_number": "815-337-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 MCHENRY AVE",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600982922",
            "telephone_number": "815-337-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1185 Dundee Ave Ste E1",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601202233",
            "country_code": "US",
            "telephone_number": "847-608-8570",
            "fax_number": "847-608-8572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWEST TREATMENT ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-608-8570"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew Alexander Noffs
• Patricia A Nofzinger, M.D.
• Northern Illinois Medical Center (Northwestern Medicine McHenry Hospital)
• Northern Illinois Medical Center (McHenry County Crisis Program)
• Northwest Treatment Associates
• Northwest Treatment Associates, Inc.
• Donald Novak, PT
• Carol Anne Nurse
• Jessica Carol Nusbaum
• Beth Erica Nystrom, PT

• Clinical Social Worker in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Clinical Social Worker in Illinois

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