Active NPI
Safe Passage Therapy Services PLLC
- Clinical Social Worker
- Aurora, IL
National Provider Identifier
1417734955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SAFE PASSAGE THERAPY SERVICES PLLC
- Practice address
- 1444 N Farnsworth Ave Ste 100
Aurora, IL 60505-1858 - Phone
- (708) 316-7694
- NPI assigned
- Sep 8, 2023
- Last updated
- Jan 14, 2024
- 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
- Ricky Spain Jr., LCSW
- Title
- Owner
- Phone
- (708) 314-1012
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1444 N Farnsworth Ave Ste 100
Aurora, IL 60505-1858
Mailing address
1444 N Farnsworth Ave Ste 100
Aurora, IL 60505-1858
Phone (708) 316-7694
National Provider Directory
National Provider DirectoryLocations
1444 N Farnsworth Ave
Ste 100
Aurora, IL 60505
Phone (708) 316-7694
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.
-
- Clinical Social Worker
- Wheaton, IL
- NPI 1801314307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705190400000",
"number": "1417734955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 N FARNSWORTH AVE STE 100",
"city": "AURORA",
"state": "IL",
"postal_code": "605051858",
"telephone_number": "708-316-7694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 N FARNSWORTH AVE STE 100",
"city": "AURORA",
"state": "IL",
"postal_code": "605051858",
"telephone_number": "708-316-7694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE PASSAGE THERAPY SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-08",
"last_updated": "2024-01-14",
"certification_date": "2024-01-14",
"status": "A",
"authorized_official_last_name": "SPAIN",
"authorized_official_first_name": "RICKY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-314-1012",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.