Active NPI
Senior Care Therapy of Illinois, LLC
- Clinical Social Worker
- Lincolnwood, IL
National Provider Identifier
1568040186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SENIOR CARE THERAPY OF ILLINOIS, LLC
- Practice address
- 3355 W Arthur Ave
Lincolnwood, IL 60712-3843 - Phone
- (973) 264-0023
- NPI assigned
- Apr 2, 2021
- 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
- Alisa Rosenfeld, LCSW
- Title
- Owner
- Phone
- (973) 264-0023
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3355 W Arthur Ave
Lincolnwood, IL 60712-3843
Mailing address
85 Crescent Ave
Passaic, NJ 07055-2437
Phone (973) 264-0023
Other practice location 1
3355 West Arthur Ave
Lincolnwood, IL 60712
Phone (973) 264-0023
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Passaic, NJ
- NPI 1326092784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617321600000",
"number": "1568040186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 CRESCENT AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070552437",
"telephone_number": "973-264-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 W ARTHUR AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607123843",
"telephone_number": "973-264-0023"
}
],
"practiceLocations": [
{
"address_1": "3355 West Arthur Ave",
"address_purpose": "LOCATION",
"city": "Lincolnwood",
"state": "IL",
"postal_code": "60712",
"country_code": "US",
"telephone_number": "973-264-0023",
"fax_number": "973-264-0022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SENIOR CARE THERAPY OF ILLINOIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-02",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A",
"authorized_official_last_name": "ROSENFELD",
"authorized_official_first_name": "ALISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-264-0023",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.