Chicago Child Care Society

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

004183 Issued in IL

Legal business name

CHICAGO CHILD CARE SOCIETY

Practice address

5467 S University Ave
Chicago, IL 60615-5114

Phone

(773) 643-0452

Fax

(773) 643-0620

NPI assigned

Feb 16, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Curt Holderfield, LCSW

Title

Director of Child Welfare Programs

Phone

(773) 643-0452

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1508188723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5467 S UNIVERSITY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155114",
            "telephone_number": "773-643-0452",
            "fax_number": "773-643-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5467 S UNIVERSITY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155114",
            "telephone_number": "773-643-0452",
            "fax_number": "773-643-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO CHILD CARE SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "HOLDERFIELD",
        "authorized_official_first_name": "CURT",
        "authorized_official_title_or_position": "DIRECTOR OF CHILD WELFARE PROGRAMS",
        "authorized_official_telephone_number": "773-643-0452",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "IL",
            "license": "004183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foster Care Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Foster Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.