New Direction Advocacy and Therapeutic Consultant, NFP

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

150.011665 Issued in IL

Legal business name

NEW DIRECTION ADVOCACY AND THERAPEUTIC CONSULTANT, NFP

Practice address

5549 Allemong Dr
Matteson, IL 60443-1101

Phone

(630) 660-6145

NPI assigned

Aug 22, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Lorraine Wormely, LMSW

Title

Director, Social Services

Phone

(630) 660-6145

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1528513322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5549 ALLEMONG DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431101",
            "telephone_number": "630-660-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5549 ALLEMONG DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431101",
            "telephone_number": "630-660-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTION ADVOCACY AND THERAPEUTIC CONSULTANT, NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "WORMELY",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "DIRECTOR, SOCIAL SERVICES",
        "authorized_official_telephone_number": "630-660-6145",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "150.011665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.