Organization Active NPI

Nurturing Village, LLC

  • Clinical Social Worker
  • Crystal Lake, IL
National Provider Identifier
1619494440
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011590 Issued in IL
Legal business name
NURTURING VILLAGE, LLC
Practice address
7115 Virginia Rd Ste 108
Crystal Lake, IL 60014-3110
Phone
(815) 893-9484
NPI assigned
Aug 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Elizabeth M Krotser, LCSWNPI 1235571290
Title
Owner / Clinical Social Worker
Phone
(630) 697-5825

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149011590 IL Primary

Addresses

Primary practice location

7115 Virginia Rd Ste 108
Crystal Lake, IL 60014-3110

Mailing address

7115 Virginia Rd Ste 108
Crystal Lake, IL 60014-3110
Phone (815) 893-9484

National Provider Directory

National Provider Directory

Locations

7115 Virginia Rd
Ste 108
Crystal Lake, IL 60014
Phone (630) 697-5825

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619494440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 VIRGINIA RD STE 108",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143110",
            "telephone_number": "815-893-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 VIRGINIA RD STE 108",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143110",
            "telephone_number": "815-893-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURING VILLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KROTSER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "630-697-5825",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.