Clegg Counseling Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CLEGG COUNSELING SERVICES LLC

Practice address

2047 W Thomas St Unit 1
Chicago, IL 60622-3627

Phone

(843) 685-0696

NPI assigned

Nov 1, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Dale Clegg, L.C.S.W.

Title

Owner/Therapist

Phone

(843) 685-0696

Specialties & licenses 1

Addresses

Other names 1

• --None-- Other name

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1659144657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 W THOMAS ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223627",
            "telephone_number": "843-685-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 W THOMAS ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223627",
            "telephone_number": "843-685-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEGG COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "CLEGG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "843-685-0696",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "--None--",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shayne Marie Cleary, DPT
• Eric C Cleaton, M.D.
• Leslie A Cleaver, LCSW
• Matthew Cleaver
• Stefani Tristan Cleaver, PT, DPT
• Crystal Cleggett
• Morgan Clem, DO
• Kelly Christine Clemens, FNP-BC
• Meaghan Victoria Clemens, D.C.
• Tracey L Clemens, 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 Nov 1, 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.