Active NPI
Peaceable Practice LLC
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1679349203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PEACEABLE PRACTICE LLC
- Practice address
- 1834 N Sayre Ave
Chicago, IL 60707-3836 - Phone
- (312) 282-7240
- NPI assigned
- Nov 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lauren Michelle Clancy, LCSW
- Title
- Owver
- Phone
- (312) 282-7240
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1834 N Sayre Ave
Chicago, IL 60707-3836
Mailing address
1834 N Sayre Ave
Chicago, IL 60707-3836
Phone (312) 282-7240
Other practice location 1
1101 Lake St Ste 401
Oak Park, IL 60301-1048
Phone (312) 282-7240
National Provider Directory
National Provider DirectoryLocations
1101 Lake St
Ste 401
Oak Park, IL 60301
Phone (312) 282-7240
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1033389119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701043200000",
"number": "1679349203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1834 N SAYRE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "607073836",
"telephone_number": "312-282-7240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1834 N SAYRE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "607073836",
"telephone_number": "312-282-7240"
}
],
"practiceLocations": [
{
"address_1": "1101 Lake St Ste 401",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603011048",
"country_code": "US",
"telephone_number": "312-282-7240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PEACEABLE PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-25",
"status": "A",
"authorized_official_last_name": "CLANCY",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OWVER",
"authorized_official_telephone_number": "312-282-7240",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 Nov 27, 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.