Branch Counseling and Wellness PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105803102 Issued in IL

Legal business name

BRANCH COUNSELING AND WELLNESS PC

Practice address

1200 N Ashland Ave
Suite 205
Chicago, IL 60622-2259

Phone

(312) 874-8198

NPI assigned

Oct 6, 2015

Organization subpart

No

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

Authorized official

Name

Candace M Leitheiser, LCSW

Title

Director

Phone

(312) 874-8198

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1487024139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ASHLAND AVE",
            "address_2": "SUITE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ASHLAND AVE",
            "address_2": "SUITE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222259",
            "telephone_number": "312-874-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH COUNSELING AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "LEITHEISER",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-874-8198",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "105803102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claireann Brammeier-Gotthelf, DDS
• Madelyn Brammer, MSN, APRN, AGNP-C
• Tina Bramson, MSW,LCSW
• Jill Bramwell, PHARMD
• Lauren Anne Brancato, LCPC
• Christine Branch, OTR/L
• Dana Branch
• Dominic M Branch, LSW
• Dominique N Branch
• Emerson Branch III

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Oct 6, 2015; 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.