Center for Marriage and Family, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149017603 Issued in IL

Legal business name

CENTER FOR MARRIAGE AND FAMILY, INC.

Practice address

4615 E State St
Suite 130
Rockford, IL 61108-2100

Phone

(815) 391-3055

NPI assigned

Jan 23, 2016

Organization subpart

No

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

Authorized official

Name

Jan M Selander, LCSW

Title

Clinical Director

Phone

(815) 520-6972

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth A Lawson, LCSW

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1912385568
  NPD (past)

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

{
    "created_epoch": "1453507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453507200000",
    "number": "1538526488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 E STATE ST",
            "address_2": "SUITE 130",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082100",
            "telephone_number": "815-391-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 E STATE ST",
            "address_2": "SUITE 130",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082100",
            "telephone_number": "815-391-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MARRIAGE AND FAMILY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-23",
        "last_updated": "2016-01-23",
        "status": "A",
        "authorized_official_last_name": "SELANDER",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "815-520-6972",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Causeway Counseling PLLC
• Alejandra Cazares, PHARMD
• Alyssa Ceilesh, D.O.
• Christy Ann Cellitti, LMT
• Anne M Celner, RN, MS, APN-C
• Center for Sight & Hearing
• Center for Sight & Hearing
• Center for the Healing Mind PLLC
• Cep America - Illinois, LLP
• Certified Hand Center of Rockford

• Clinical Social Worker in Rockford, IL
• Providers in Rockford, 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 23, 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.