Individual provider Active NPI

Peter J Fritch, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1689287294
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149020508 Issued in IL
Practice address
661 W Lake St Ste 2S
Chicago, IL 60661-1034
Phone
(708) 887-9514
NPI assigned
Aug 25, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149020508 IL Primary

Addresses

Primary practice location

661 W Lake St Ste 2S
Chicago, IL 60661-1034

Mailing address

3800 14TH St NW Apt 307
Washington, DC 20011-5416
Phone (708) 887-9514

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Simplepractice.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149020508ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Center for Psychotherapy LLC Clinical CurrentSince Feb 6, 2022 Accepting new patients

Locations

137 N Oak Park Ave
Ste 327
Oak Park, IL 60301
Phone (708) 848-0491

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689287294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 14TH ST NW APT 307",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115416",
            "telephone_number": "708-887-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 W LAKE ST STE 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611034",
            "telephone_number": "708-887-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITCH",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-25",
        "last_updated": "2023-03-07",
        "certification_date": "2022-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Simplepractice.com",
            "affiliation": "N",
            "address_1": "137 N Oak Park Ave Ste 327",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603011375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Mar 7, 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.