Enriching Lives

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.008160 Issued in IL

Legal business name

ENRICHING LIVES

Practice address

633 Echo LN
Glenview, IL 60025-3433

Phone

(630) 669-1615

NPI assigned

Aug 13, 2016

Last updated

Aug 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria WallachNPI 1073966800

Title

Licenced Clinical Social Worker

Phone

(630) 669-1615

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Trakas Wallach, LCSW

  • Clinical Social Worker
  • Glenview, IL
  • NPI 1073966800
  Authorized official Same address or phone

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

{
    "created_epoch": "1471046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1659825180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 ECHO LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253433",
            "telephone_number": "630-669-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 ECHO LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253433",
            "telephone_number": "630-669-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHING LIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-13",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "WALLACH",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "LICENCED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "630-669-1615"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.008160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Encircle Psychological Services, LLC
• Endeavor Health Clinical Operations (Glenbrook Hospital Outpatient Pharmacy)
• Endeavor Health Clinical Operations (Endeavor Health Laboratories at Glenbrook)
• Energy Geneyus Inc
• Enlightened Solutions
• Danielle Kristine Enrico, OTD
• Rosalie O Epstein, MSW LCSW
• Paulina Erdle, DMD
• Eric Chuang MD SC
• Eric Chuang MD, SC

• Clinical Social Worker in Glenview, IL
• Providers in Glenview, 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 Aug 26, 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.