Organization Active NPI

Laura Mauriello, LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1699207746
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149017973 Issued in IL
Legal business name
LAURA MAURIELLO, LLC
Practice address
400 N la Salle Dr
#1507
Chicago, IL 60654-8539
Phone
(630) 890-4899
Fax
(312) 546-7065
NPI assigned
Mar 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Laura MaurielloNPI 1538594536
Title
Owner
Phone
(630) 890-4899

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149017973 IL Primary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X

Addresses

Primary practice location

400 N la Salle Dr
#1507
Chicago, IL 60654-8539

Mailing address

400 N la Salle Dr
#1507
Chicago, IL 60654-8539
Phone (630) 890-4899

National Provider Directory

National Provider Directory

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": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1699207746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N LA SALLE DR",
            "address_2": "#1507",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606548539",
            "telephone_number": "630-890-4899",
            "fax_number": "312-546-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N LA SALLE DR",
            "address_2": "#1507",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606548539",
            "telephone_number": "630-890-4899",
            "fax_number": "312-546-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA MAURIELLO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "MAURIELLO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-890-4899"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017973",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 29, 2017; 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.