Organization Active NPI

Empowered Therapy, Inc

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1548638166
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149016042 Issued in IL
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

Updated by the provider on Sep 14, 2015

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.