Organization Active NPI

Resources for Change, LTD

  • Clinical Social Worker
  • Lake Bluff, IL
National Provider Identifier
1669652913
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149003151 Issued in IL
Legal business name
RESOURCES FOR CHANGE, LTD
Practice address
655 Rockland Rd
Ste 103
Lake Bluff, IL 60044-1782
Phone
(847) 309-3781
Fax
(847) 482-1688
NPI assigned
Nov 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Mr. Douglas S Labelle, LCSWNPI 1356475842
Title
President
Phone
(847) 309-3781

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 149003151 IL Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 6891123 WI

Addresses

Primary practice location

655 Rockland Rd
Ste 103
Lake Bluff, IL 60044-1782

Mailing address

655 Rockland Rd
Ste 103
Lake Bluff, IL 60044-1782
Phone (847) 309-3781

National Provider Directory

National Provider Directory

Locations

655 Rockland Rd
Ste 103
Lake Bluff, IL 60044
Phone (847) 309-3781

Practitioners & affiliated clinicians

Practitioners 1

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": "1194134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1669652913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 ROCKLAND RD",
            "address_2": "STE 103",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441782",
            "telephone_number": "847-309-3781",
            "fax_number": "847-482-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 ROCKLAND RD",
            "address_2": "STE 103",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441782",
            "telephone_number": "847-309-3781",
            "fax_number": "847-482-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOURCES FOR CHANGE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-04",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "LABELLE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-309-3781",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149003151",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6891123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.