West Suburban Psychotherapy Assoc,Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012099 Issued in IL

Legal business name

WEST SUBURBAN PSYCHOTHERAPY ASSOC,INC

Practice address

1751 S Naperville Rd
Suite 207
Wheaton, IL 60187-8196

Phone

(630) 480-0434

NPI assigned

Aug 14, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Lee Perdew, LCSW

Title

President

Phone

(630) 480-0434

Specialties & licenses 1

Addresses

Tax ID family

Patricia Perdew Lcswpc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Patricia Perdew, LCSW,PC

  • Clinical Social Worker
  • Wheaton, IL
  • NPI 1841434545
  NPD tax ID

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1497947386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 S NAPERVILLE RD",
            "address_2": "SUITE 207",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878196",
            "telephone_number": "630-480-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 S NAPERVILLE RD",
            "address_2": "SUITE 207",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878196",
            "telephone_number": "630-480-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN PSYCHOTHERAPY ASSOC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "PERDEW",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-480-0434",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph R Wells, DDS
• Jeffrey Wencel, PT, DPT, MA, OCS
• Hannah Weseman
• Michele Wesling
• West Suburban Endodontics LLC
• Molly Westfall
• Eric D Westman
• Cheryl Anne Wetzker, FNP
• Wheaton Behavioral Health PLLC
• Wheaton Care Center

• Clinical Social Worker in Wheaton, IL
• Providers in Wheaton, 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 Jun 10, 2008; 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.