Organization Active NPI

Nurture Therapy TN

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1558000174
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NURTURE THERAPY TN
Practice address
3711 N Ravenswood Ave Ste 146
Chicago, IL 60613-5944
Phone
(773) 274-0700
NPI assigned
Jun 1, 2022
Last updated
Jun 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Jamie Kreiter, LCSWNPI 1427438449
Title
Ceo
Phone
(773) 270-8079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

3711 N Ravenswood Ave Ste 146
Chicago, IL 60613-5944

Mailing address

2001 N Albany Ave
Chicago, IL 60647-3814
Phone (847) 363-0628

Other practice location 1

574 Franklin Rd Ste 200
Franklin, TN 37069-8214
Phone (773) 274-0700

National Provider Directory

National Provider Directory

Locations

3711 N Ravenswood Ave
Ste 146
Chicago, IL 60613
Phone (773) 224-0700

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": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1558000174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N ALBANY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473814",
            "telephone_number": "847-363-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 N RAVENSWOOD AVE STE 146",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606135944",
            "telephone_number": "773-274-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "574 Franklin Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370698214",
            "country_code": "US",
            "telephone_number": "773-274-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NURTURE THERAPY TN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "KREITER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-270-8079",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "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 Jun 1, 2022; 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.