The Impact of Therapy L.L.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE IMPACT OF THERAPY L.L.C.

Practice address

10310 W York House Rd
Beach Park, IL 60087-2402

Phone

(847) 323-6213

NPI assigned

Nov 3, 2023

Last updated

Nov 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan ArenasNPI 1871964197

Title

Clinical Social Worker

Phone

(847) 323-6213

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, and the practitioner matching its NPPES authorized official.

• Jonathan Arenas

  • Clinical Social Worker
  • Waukegan, IL
  • NPI 1871964197
  NPD Authorized official

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1548033244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10310 W YORK HOUSE RD",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600872402",
            "telephone_number": "847-323-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 W YORK HOUSE RD",
            "city": "BEACH PARK",
            "state": "IL",
            "postal_code": "600872402",
            "telephone_number": "847-323-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IMPACT OF THERAPY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "ARENAS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "847-323-6213"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Beach Park, IL
• Providers in Beach Park, 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 Nov 10, 2023; 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.