Organization Active NPI

Birch River Wellness, P.C.

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1669843561
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149009754 Issued in IL
Legal business name
BIRCH RIVER WELLNESS, P.C.
Practice address
4525 N. Ravenswood Ave
Suite 201
Chicago, IL 60640-8038
Phone
(312) 203-3405
NPI assigned
Oct 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Ms. Pamela Jean Bell, LCSWNPI 1699964635
Title
President
Phone
(312) 203-3405

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149009754 IL Primary

Addresses

Primary practice location

4525 N. Ravenswood Ave
Suite 201
Chicago, IL 60640-8038

Mailing address

4525 N. Ravenswood Ave
Suite 201
Chicago, IL 60640-8038
Phone (312) 203-3405

National Provider Directory

National Provider Directory

Locations

4633 N Western Ave
Ste 201
Chicago, IL 60625
Phone (312) 203-3405

4525 N Ravenswood Ave
Ste 201
Chicago, IL 60640
Phone (312) 857-8794

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": "1445126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1669843561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 N. RAVENSWOOD AVE",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408038",
            "telephone_number": "312-203-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 N. RAVENSWOOD AVE",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408038",
            "telephone_number": "312-203-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH RIVER WELLNESS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-18",
        "last_updated": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-203-3405",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 15, 2025; 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.