Cristen Alice Brossok, MA, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.021895 Issued in IL

Practice address

1402 N Greenview Ave Apt GF
Chicago, IL 60642-7017

Phone

(312) 775-2440

NPI assigned

Oct 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Honeycomb Psychotherapy & Consultation PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1235905118
  NPD Authorized official

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1508409681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 N GREENVIEW AVE APT GF",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427017",
            "telephone_number": "312-775-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 N GREENVIEW AVE APT GF",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427017",
            "telephone_number": "312-775-2440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 S Jefferson St Apt 3",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606161018",
            "country_code": "US",
            "telephone_number": "201-452-9746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 E 53rd St Ste 621",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606154530",
            "country_code": "US",
            "telephone_number": "201-452-9746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSSOK",
        "first_name": "CRISTEN",
        "middle_name": "ALICE",
        "name_prefix": "Ms.",
        "credential": "MA, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.103100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Brorson
• Jess Broschart, MSW
• Brosco Chiropractic LLC
• Anna Katya Brossart, MS, CGC
• Mary Brosseau, DPT
• Brothers Health Collective
• Brothers Pharmacy Inc
• Rebecca A Broton, LCPC
• Veronica Broton
• Katherine Hyde Brott, PHD

• 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 Jan 8, 2024; 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.