The Social Skills Place, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149.012129 Issued in IL

Legal business name

THE SOCIAL SKILLS PLACE, INC.

Practice address

464 Central Ave
Suite 6
Northfield, IL 60093-3040

Phone

(847) 446-7430

Fax

(847) 446-7430

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Susan B Stern, LCSW

Title

President/Social Worker

Phone

(847) 507-8834

Specialties & licenses 1

Addresses

Other names 1

• Susan Stern, LCSW Other name

Locations

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1619419769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 CENTRAL AVE",
            "address_2": "SUITE 6",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933040",
            "telephone_number": "847-446-7430",
            "fax_number": "847-446-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 CENTRAL AVE",
            "address_2": "SUITE 6",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933040",
            "telephone_number": "847-446-7430",
            "fax_number": "847-446-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOCIAL SKILLS PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/SOCIAL WORKER",
        "authorized_official_telephone_number": "847-507-8834",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149.012129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan Stern, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Northfield, IL
• Providers in Northfield, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.