NPIMap

Organization Active NPI

Clare Charles LCSW

  • Case Management Agency
  • Chicago, IL
National Provider Identifier
1538588231
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
149.002964 Issued in IL
Legal business name
CLARE CHARLES LCSW
Practice address
2034 N Burling St
Chicago, IL 60614-4412
Phone
(312) 943-8770
NPI assigned
Apr 9, 2014
Last updated
Apr 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Mrs. Clare Charles, LCSWNPI 1508938929
Title
LCSW
Phone
(312) 943-8770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 149.002964 IL Primary

Addresses

Primary practice location

2034 N Burling St
Chicago, IL 60614-4412

Mailing address

2034 N Burling St
2034 North Burling Street
Chicago, IL 60614-4412
Phone (312) 943-8770

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1538588231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 N BURLING ST",
            "address_2": "2034 NORTH BURLING STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144412",
            "telephone_number": "312-943-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 N BURLING ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144412",
            "telephone_number": "312-943-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARE CHARLES LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "CLARE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "312-943-8770",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": "149.002964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.