Individual provider Active NPI

Maddelyn Leigh Tonjes, LSW

  • Social Worker
  • Chicago, IL
National Provider Identifier
1659049054
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150105386 Issued in IL
Practice address
1507 W Lawrence Ave
Chicago, IL 60640-4702
Phone
(773) 569-1468
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150105386 IL Primary

Addresses

Primary practice location

1507 W Lawrence Ave
Chicago, IL 60640-4702

Mailing address

3000 N Sheridan Rd Apt 5B
Chicago, IL 60657-5536
Phone (952) 456-1306

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.centeredtherapychicago.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150105386ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Therapy Chicago PLLC CurrentSince Sep 24, 2023 Accepting new patients
Lifepath Therapy Associates, LLC PastSince Sep 1, 2021 Accepting new patients

Locations

1507 W Lawrence Ave
Chicago, IL 60640
Phone (773) 569-1426

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1659049054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N SHERIDAN RD APT 5B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575536",
            "telephone_number": "952-456-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404702",
            "telephone_number": "773-569-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONJES",
        "first_name": "MADDELYN",
        "middle_name": "LEIGH",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150105386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.centeredtherapychicago.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1507 W Lawrence Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606404702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.