Organization Active NPI

Peaceable Practice LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1679349203
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mrs. Lauren Michelle Clancy, LCSWNPI 1033389119
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.