Active NPI
Family Pathways Counseling
- Clinical Social Worker
- Des Plaines, IL
National Provider Identifier
1609194083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149003680
- Legal business name
- FAMILY PATHWAYS COUNSELING
- Practice address
- 380 E Northwest Hwy
Des Plaines, IL 60016-2290 - Phone
- (847) 909-7635
- NPI assigned
- May 11, 2010
- 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
- Mr. George E Becker, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (847) 924-7635
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149003680 | IL | Primary |
Addresses
Primary practice location
380 E Northwest Hwy
Des Plaines, IL 60016-2290
Mailing address
1034 S Wolf Rd
Des Plaines, IL 60016-6146
Phone (847) 924-7635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11404737 | Other | IL | CAQH |
National Provider Directory
National Provider DirectoryLocations
380 E Northwest Hwy
Des Plaines, IL 60016
Phone (847) 813-0700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Mount Prospect, IL
- NPI 1699001412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282521600000",
"number": "1609194083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 S WOLF RD",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600166146",
"telephone_number": "847-924-7635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 E NORTHWEST HWY",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600162290",
"telephone_number": "847-909-7635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PATHWAYS COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-11",
"last_updated": "2010-08-23",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "847-924-7635",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149003680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11404737",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.