Active NPI
Empowered Therapy, Inc
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1548638166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149016042
- Legal business name
- EMPOWERED THERAPY, INC
- Practice address
- 155 N Michigan Ave
Suite 715
Chicago, IL 60601-7511 - Phone
- (847) 562-6376
- NPI assigned
- Sep 14, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elizabeth Jill Burke, LCSW
- Title
- President
- Phone
- (847) 562-6376
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149016042 | IL | Primary |
Addresses
Primary practice location
155 N Michigan Ave
Suite 715
Chicago, IL 60601-7511
Mailing address
900 N Kingsbury St
Apt. 1112
Chicago, IL 60610-7432
Phone (847) 562-6376
National Provider Directory
National Provider DirectoryLocations
155 N Michigan Ave
Ste 715
Chicago, IL 60601
Phone (847) 562-6376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442188800000",
"number": "1548638166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N KINGSBURY ST",
"address_2": "APT. 1112",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606107432",
"telephone_number": "847-562-6376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N MICHIGAN AVE",
"address_2": "SUITE 715",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017511",
"telephone_number": "847-562-6376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPOWERED THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-14",
"last_updated": "2015-09-14",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "JILL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-562-6376",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149016042",
"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 Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.