Organization Active NPI

Marilyns Family LLC

  • Clinical Social Worker
  • Naperville, IL
National Provider Identifier
1457913089
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MARILYNS FAMILY LLC
Practice address
1200 Bainbridge Dr
Naperville, IL 60563-2065
Phone
(815) 501-7867
NPI assigned
Jul 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Michelle Moore
Title
President
Phone
(630) 836-8039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1200 Bainbridge Dr
Naperville, IL 60563-2065

Mailing address

1200 Bainbridge Dr
Naperville, IL 60563-2065
Phone (815) 501-7867

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle@marilynsfamily.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1457913089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BAINBRIDGE DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632065",
            "telephone_number": "815-501-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BAINBRIDGE DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632065",
            "telephone_number": "815-501-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYNS FAMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-836-8039"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle@marilynsfamily.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1200 Bainbridge Dr",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605632065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.