NPIMap

Organization Active NPI

North Shore Family Services

  • Clinical Social Worker
  • Northbrook, IL
National Provider Identifier
1497194070
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009042 Issued in IL
Legal business name
NORTH SHORE FAMILY SERVICES
Practice address
900 Skokie Boulevard
Suite 218
Northbrook, IL 60062
Phone
(847) 668-4295
Fax
(847) 668-4295
NPI assigned
Jun 18, 2013
Last updated
Dec 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Suzanne Wahl, BS
Title
Practice Manager
Phone
(847) 668-4295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149009042 IL Primary

Addresses

Primary practice location

900 Skokie Boulevard
Suite 218
Northbrook, IL 60062

Mailing address

900 Skokie Boulevard
Suite 218
Northbrook, IL 60062
Phone (847) 668-4295

Other identifiers 1

IdentifierTypeStateIssuer
1861799355OtherILINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

900 Skokie Blvd
Ste 218
Northbrook, IL 60062
Phone (847) 668-4295

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1497194070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BOULEVARD",
            "address_2": "SUITE 218",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "847-668-4295",
            "fax_number": "847-668-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BOULEVARD",
            "address_2": "SUITE 218",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "847-668-4295",
            "fax_number": "847-668-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "847-668-4295",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1861799355",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.