Nathan William Flessner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.025006 Issued in IL

Practice address

2755 N Pine Grove Ave
Chicago, IL 60614-6109

Phone

(312) 259-2665

NPI assigned

Dec 9, 2022

Last updated

Dec 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Footholds Therapy Group PLLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1790636611
  NPD Authorized official

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1619688603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 W LYNDALE ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472824",
            "telephone_number": "309-826-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 N PINE GROVE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146109",
            "telephone_number": "312-259-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLESSNER",
        "first_name": "NATHAN",
        "middle_name": "WILLIAM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nathan@lincolnparktherapygroup.com",
            "affiliation": "N",
            "endpointDescription": "Business, HIPPA compliant email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2755 N Pine Grove Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606146109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sheila M Fleming, LCSW
• Tijuan L Fleming, CADC
• Katherine Johnson Flentge
• Theresa A Flerick, N.P.
• Alyssa Brennan Flesher, DPT
• Claire Elizabeth Fletchall
• David Fletcher-Janzen
• Alicia Fletcher
• Allison Fletcher, PSYD
• Brian S Fletcher, PT,DPT

• 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 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.