Inclusivity Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015448 Issued in IL

Legal business name

INCLUSIVITY COUNSELING, LLC

Practice address

4737 N Clark St
Chicago, IL 60640-7758

Phone

(773) 930-8681

NPI assigned

Jun 24, 2016

Last updated

Jun 24, 2016By 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

Illana Jordan, LCSWNPI 1871743021

Title

Ceo/Psychotherapist

Phone

(773) 930-8681

Specialties & licenses 1

Addresses

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.

• Illana Cathleen Jordan, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1871743021
  Authorized official Same address or phone

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1619328390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7433 N CLAREMONT AVE",
            "address_2": "UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451741",
            "telephone_number": "773-930-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4737 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407758",
            "telephone_number": "773-930-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLUSIVITY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "ILLANA",
        "authorized_official_title_or_position": "CEO/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "773-930-8681",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Inclusive Therapies
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• Independence Care of Chicago LLC
• Independence Family Dental
• Independence Home Health Services, Inc.
• Independent Living Solutions, Inc.
• Independent Physician Group of Illinois (OurHealth Physician Group)

• 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 Jun 24, 2016; 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.