Active NPI
McKenna Quality Therapeutic Services, P.C.
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1457681090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.012601
- Legal business name
- MCKENNA QUALITY THERAPEUTIC SERVICES, P.C.
- Practice address
- 3517 W Palmer St # 2
Chicago, IL 60647-3519 - Phone
- (312) 714-5154
- Fax
- (312) 854-2850
- NPI assigned
- Jan 4, 2010
- Last updated
- Jan 4, 2010
- 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
- Alison Beth McKenna, LCSW
- Title
- Therapist/Clinical Consultant
- Phone
- (312) 714-5154
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.012601 | IL | Primary |
Addresses
Primary practice location
3517 W Palmer St # 2
Chicago, IL 60647-3519
Mailing address
3517 W Palmer St # 2
Chicago, IL 60647-3519
Phone (312) 714-5154
National Provider Directory
National Provider DirectoryPractitioners & 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
- Chicago, IL
- NPI 1427377696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262563200000",
"number": "1457681090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3517 W PALMER ST # 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606473519",
"telephone_number": "312-714-5154",
"fax_number": "312-854-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3517 W PALMER ST # 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606473519",
"telephone_number": "312-714-5154",
"fax_number": "312-854-2850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCKENNA QUALITY THERAPEUTIC SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-04",
"last_updated": "2010-01-04",
"status": "A",
"authorized_official_last_name": "MCKENNA",
"authorized_official_first_name": "ALISON",
"authorized_official_middle_name": "BETH",
"authorized_official_title_or_position": "THERAPIST/CLINICAL CONSULTANT",
"authorized_official_telephone_number": "312-714-5154",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.012601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.