Organization Active NPI

Salvation Army Metro Division

Doing business as The Salvation Army Family and Community Services

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1689886251
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SALVATION ARMY METRO DIVISION
Doing business as
The Salvation Army Family and Community Services
Practice address
4800 N Marine Dr
Chicago, IL 60640-7859
Phone
(773) 275-6233
Fax
(773) 275-6288
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Mr. Stephen Lepse, L.C.S.W.
Title
Director
Phone
(773) 275-6233

Specialties & licenses 1

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

Addresses

Primary practice location

4800 N Marine Dr
Chicago, IL 60640-7859

Mailing address

4800 N Marine Dr
Chicago, IL 60640-7859
Phone (773) 275-6233

Other names 1

  • The Salvation Army Family and Community Services Doing business as

National Provider Directory

National Provider Directory

Locations

1616 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 392-0265

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": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1689886251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407859",
            "telephone_number": "773-275-6233",
            "fax_number": "773-275-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407859",
            "telephone_number": "773-275-6233",
            "fax_number": "773-275-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATION ARMY METRO DIVISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "LEPSE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-275-6233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Salvation Army Family and Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 29, 2008; 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.