Active NPI
Therapy by Group, LLC
- Clinical Social Worker
- Niles, IL
National Provider Identifier
1417517905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THERAPY BY GROUP, LLC
- Practice address
- 7338 W Breen St
Niles, IL 60714-2206 - Phone
- (206) 707-6523
- NPI assigned
- Jun 17, 2019
- Last updated
- Jun 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Garrett Shotwell
- Title
- President
- Phone
- (206) 707-6523
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
7338 W Breen St
Niles, IL 60714-2206
Mailing address
7338 W Breen St
Niles, IL 60714-2206
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560729600000",
"number": "1417517905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7338 W BREEN ST",
"city": "NILES",
"state": "IL",
"postal_code": "607142206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7338 W BREEN ST",
"city": "NILES",
"state": "IL",
"postal_code": "607142206",
"telephone_number": "206-707-6523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY BY GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-17",
"last_updated": "2019-06-17",
"status": "A",
"authorized_official_last_name": "SHOTWELL",
"authorized_official_first_name": "GARRETT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "206-707-6523"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, IL
- Linda Teichmann, RPH, PHARMD
- Rosalie Sematczyn Telwak, R PH
- The Sun Will Come Out PLLC
- The Thresholds (North Suburbs Niles Apartments)
- Mathew Thengil, MA, OTR/L
- Joyson Thomas
- Shilpa Thomas, OD
- Arun Mathew Cyriac Thottichira, P.T
- Peter V Tortorice, RPH PHARM D
- Total Renal Care Inc (Big Oaks Dialysis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.