Theresa Nollette LCSW LTD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149003940 Issued in IL

Legal business name

THERESA NOLLETTE LCSW LTD

Practice address

151 N Michigan Ave
Suite 911
Chicago, IL 60601-7506

Phone

(312) 540-0320

Fax

(312) 540-0315

NPI assigned

Dec 7, 2010

Last updated

Dec 7, 2010By 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

Ms. Theresa Ann Nollette, L.C.S.W.

Title

President

Phone

(312) 540-0320

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.

• Robin Marie Smith, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1154457968
  NPD (past)

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1568765998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N MICHIGAN AVE",
            "address_2": "SUITE 911",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017506",
            "telephone_number": "312-540-0320",
            "fax_number": "312-540-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N MICHIGAN AVE",
            "address_2": "SUITE 911",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017506",
            "telephone_number": "312-540-0320",
            "fax_number": "312-540-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA NOLLETTE LCSW LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "NOLLETTE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-540-0320",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Dec 7, 2010; 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.